First Bite #91 – March 10, 2020

Cracking those @hardtoswallowslp Dysphagia Myths

(.1 ASHA and AOTA CEUs) For more info, click here.

Course Description

In this episode, Michelle is joined by Will Farnham, MS, CCC-SLP, the tortured soul behind @hardtoswallowslp on Instagram. Will, who is an accomplished FEES trained Medically-Based SLP, spends this hour sharing his quick verbal whit while busting a series of commonly misplaced dysphagia myths! Ever wondered if the instrumental exam trumped what is seen during your regular ST sessions? Don’t wonder any longer; Will will shatter our preconceived notions. Ever worried that a patient’s dysphagia status is the sole indicator for aspiration status? Don’t worry any longer; Will’s got the answer! Ever considered if the UES, (Upper Esophageal Sphincter), is where our job stops? No longer need to consider, Will’s got this! This hour proves to be as inspirational as it is joyful!


By the end of this PodCourse, participants will be able to identify and describe:

  • How instrumental swallow evaluations inform and support clinical swallow evaluations and treatment sessions.
  • How dysphagia status is associated with aspiration status, but they can be separate diagnoses in certain cases.
  • Roles and responsibilities of the SLP as pertains to the esophageal stage of the swallow.


Will Farnham, MS, CCC-SLP

Will Farnham is the tortured soul behind Hard to Swallow (@hardtoswallowslp on Instagram). When not making memes, he has spent most of his career in skilled nursing settings, but has also been performing mobile endoscopic swallowing evaluations with Dysphagia Management Systems since 2018, and he now works for them full time on new media initiatives as well as being their local endoscopist for the western Florida Panhandle. He spends what little of the day that remains with his long-suffering wife and energetic daughter.