Many individuals who have long-term swallowing impairments after stroke need continued support from the medical community to address malnutrition, dehydration, pneumonia, quality of life, and community support. Volunteer patient Jim Pastorius has experienced severe swallowing impairments since a brainstem stroke in 2017. Despite this, Jim eventually had his feeding tube removed. Nevertheless, he relies on Botox injections to keep his upper esophageal sphincter open and avoids some foods and eating situations to ensure that he does not choke.
In this HELP session recorded in April 2024, Dr. Humbert conducts a follow-up visit that includes an interview, fiberoptic endoscopic evaluation of swallowing (FEES), and a modified barium swallow study (MBSS)—a swallowing X-ray—with Jim, so that the team can educate him on his swallowing progress.
The free recording is available above. Clinicians can dive deeper into Jim’s history through the additional pre-recorded coursework on STEP.