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PODCAST

Speech Talk

Eva Johnson & Emily Brady

Welcome to Speech Talk, a podcast for SLPs who are hungry to stay on top of the latest research but don’t have the time to read it. Every other week, join hosts Emily and Eva, two working SLPs who have taken it upon themselves to dive into the data so you don’t have to. Together, they’re turning clinical studies into real-life solutions. From cognitive screening to medication management, adult neuro rehab to discharge planning, they break it all down with evidence, empathy, and a healthy dose of

health & fitness medicine

All Episodes

44:51

Does “Wet Voice” Actually Mean Dysphagia?

Speech Talk ·

2026/04/07

Does a “wet” voice really mean your patient is aspirating?In this episode, Eva and Emily unpack research that challenges one of the most common clinical signs used in dysphagia assessment, wet vocal quality. Turns out, what we’ve been trained to hear might not be as reliable as we think. The need for instrumentals hasn't gone away, but the biggest national providers of mobile FEEs has...So what happens when we know we can’t solely rely on bedside exams and access to gold standard tools is

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43:49

Thickened Liquids...It’s Complicated

Speech Talk ·

2026/03/24

Thickened liquids are one of the most common recommendations in dysphagia management—but are they always the safest option?In this episode of Speech Talk, Emily and Eva review The Adverse Effects and Events of Thickened Liquid Use in Adults: A Systematic Review and dig into the real evidence behind thickened liquids. We talk aspiration risk, dehydration, pneumonia, quality of life, and why dysphagia management is rarely as simple as “just thicken it.” From the proxy problem in aspiration research

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37:26

The Difficult Dance: The SLP’s Role in Huntington’s...

Speech Talk ·

2026/03/10

What does evidence-based practice look like when the disease is progressive, fatal, and relentlessly complex?This week on Speech Talk, Emily and Eva discuss clinical management of Huntington’s disease in long-term and residential care settings. Using a comprehensive 2007 primer for speech-language pathologists, we explore dysphagia progression, dysarthria, AAC challenges, behavioral supports, staff training, and the importance of early education. We also reflect on real-world clinical decision

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30:17

Bone Spurs & Bolus Flow: Cervical Osteophytes and...

Speech Talk ·

2026/02/24

In this episode of Speech Talk, Emily and Eva dive into cervical osteophytes (aka bone spurs in the neck) and how they can mechanically impact swallowing. We break down what osteophytes are, why they form, and how they can present just like “typical” dysphagia — globus, coughing, choking, wet vocal quality — but may gradually worsen over time.We talk about imaging (Because how else would we even know it’s there!?), conservative management strategies like texture modification and suprasubglottic

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47:07

Setting the Stage for Dementia Care

Speech Talk ·

2026/02/10

How do we decide what to treat—and how—as dementia progresses?In this episode of Speech Talk, Emily and Eva break down the article Staging and Treatment Frameworks for Dementia Management by Mason-Baughman, Raupp, and Corman. We review how dementia is staged clinically, how those stages show up in communication and daily function, and what evidence-based treatment actually looks like across early, middle, and late stages. We walk through practical interventions for each stage—from compensatory

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30:23

Getting Ahead of Dysphagia: Prehab in Head & Neck Cancer

Speech Talk ·

2026/01/27

Up to 80% of patients treated for oropharyngeal head and neck cancer experience swallowing dysfunction—but what if we intervened before impairment starts?In this episode of Speech Talk, Eva and Emily break down the evidence behind prehabilitation for head and neck cancer, drawing from the literature review by Loewen et al. We unpack what prehab actually is, how swallowing therapy before and during treatment can preserve function, and why prevention is becoming central to dysphagia care. We cover

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40:16

A Very Geri Problem: Traumatic Brain Injury in Aging

Speech Talk ·

2026/01/13

Traumatic brain injury isn’t just a young‑guy‑playing‑sports problem. This week on Speech Talk, we’re diving into TBI in older adults—a population with the highest rates of hospitalization, morbidity, and mortality related to brain injury.Using the ASHA review Traumatic Brain Injury in Older Adults: Epidemiology, Etiology, Rehabilitation, and Outcomes, we break down why TBIs are so common (and so often missed) in geriatrics, especially in SNFs and hospital settings. From falls and car accidents

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31:08

How 'bout a Quickie: Dysphagia Screeners

Speech Talk ·

2025/12/30

This week on Speech Talk, we’re breaking down two of our favorite fast and evidence-backed dysphagia screeners: the TOMASS and the Yale Swallow Protocol. If you’ve ever been buried in a busy SNF day and wished for a quick but reliable way to check someone’s swallow, this episode is your new best friend.We walk you through how each tool works, what the research says, and why a simple cracker and a cup of water can give you so much clinically relevant information. You’ll hear practical tips for

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37:58

The Productivi-Tea: Sipping on SNF Reality

Speech Talk ·

2025/12/16

Productivity: the push button topic in the SNF world. If you’ve ever felt torn between what’s ethical and what’s expected, this episode will hit home.Instead of a research article, we dive into Akyko S. West’s dissertation on productivity requirements and moral distress in SNF rehab therapists (SLPs, PTs, OTs, RTs, and their assistants). This paper READS like every conversation we’ve had in break rooms for yearsss. In this episode, we cover: Why productivity expectations in SNFs feel

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25:52

DOSS It Matter? (Spoiler: Yes.)

Speech Talk ·

2025/12/02

We break down the Dysphagia Outcome and Severity Scale (DOSS)—a 7-point scale created to bring consistency, clarity, and objective severity ratings to dysphagia evals. We dig into the original 1999 article, why the scale was developed, and how SLPs can use it to support documentation, payor justification, and person-centered goal writing.In this episode, you’ll learn: What the DOSS measures and how each level (1–7) is defined Why nutrition, diet modifications, and independence all

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30:53

MCI...Now What?

Speech Talk ·

2025/11/18

How likely is someone with Mild Cognitive Impairment (MCI) to develop dementia down the line? In this episode, we’re digging into two key studies that explore how different types of MCI—amnesic, non-amnesic, and multi-domain—relate to the risk of Alzheimer’s disease. Breaking down what the data says, what tests matter most, and what we can actually say when patients ask, “So… am I going to have dementia?”This one’s all about making sense of cognitive subtypes, connecting research to real-world

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28:58

Should Food be Pretty?

Speech Talk ·

2025/11/04

How gross is puree? This week, we’re talking about dysphagia and food presentation. We looked at a study that compared how patients felt about molded versus un-molded purees (spoiler: looks matter, but taste still wins). We’ll talk about how this ties into patient intake, quality of life, and what we actually can do about it in real-world settings—especially when we're not running the kitchen. Grab your scoop molds and let's dig in.You’ll learn: What the research says about patient

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24:24

Chat- Can You Write Our Next Episode?

Speech Talk ·

2025/10/21

In this episode, we’re diving into the world of AI and how it’s showing up in speech-language pathology. We looked at two articles—one on using AI to rate dysarthria severity, and another on using ChatGPT to help make therapy materials. We’ll break down the basics of machine learning and deep learning, talk about what works (and what’s still kind of clunky), and share how we’ve been using these tools in real-life sessions. Whether you’re AI-curious or already experimenting, this one’s for

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23:10

When walking-walk. When eating, Eat-10

Speech Talk ·

2025/10/07

The EAT-10 is a quick self-assessment tool used in dysphagia screening, but how valid is it really? In this episode, Eva and Emily break down a study by Möller et al. that evaluates both the structural and clinical validity of the EAT-10—and what that means for your practice. Plus, we introduce a free Badge Buddy resource to help you screen more efficiently.You’ll learn: How the EAT-10 works and what it measures What "structural" and "clinical" validity mean for screening tools

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26:14

What? I can't hear you- Hearing loss and Dementia??

Speech Talk ·

2025/09/23

Join Eva and Emily as they explore whether hearing loss contributes to dementia. They break down key research, including the ACHIEVE study, and share insights for clinical practice. Learn how SLPs can advocate for hearing screenings, support social engagement, and recognize when cognitive changes might actually be related to hearing. Plus, real stories from the field and thoughtful discussion about patient quality of life.You’ll learn: How hearing loss and dementia may be linked What

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27:46

Oh My GERD

Speech Talk ·

2025/09/09

In this episode of Speech Talk, Eva and Emily explore how GERD impacts swallowing, nutrition, and patient care in skilled nursing facilities. Learn how to recognize GERD-related symptoms, advocate for proper referrals, educate CNAs, and navigate precautions like posture and diet modifications. With clinical research and personal stories, they break down practical steps SLPs can take to make a difference in GERD management—without overstepping scope.You’ll learn: How GERD symptoms affect

en

28:36

Cognitive Stimulation in Dementia

Speech Talk ·

2025/08/26

This week, we’re diving into one of the murkiest waters of SLP practice: cognitive interventions for people with dementia. When you hear “Well, can’t you just work on following directions?”—do you cry inside? Same. That’s why we’re unpacking a meta-analysis to give you the research-backed confidence to stand your ground.We reviewed “Do cognitive interventions improve general cognition in dementia? A meta-analysis and meta-regression” by Huntley et al. to understand what works, what doesn’t, and

en

27:04

Lemon Swab

Speech Talk ·

2025/08/12

Get ready to brush up on your oral care knowledge! 🦷 In this episode, Emily and Eva explore the world of oral hygiene products in SNF care—what works, what doesn’t, and what might actually be harmful. Whether you're an SLP, nurse, OT, or just really into responsible toothbrushing, listen up because this was made for you!We break down the findings of the article “Hospital Mouth: Dental Aids May Cause Dental Erosion” by Meurman et al., which tested the impact of common oral care tools on dental

en

34:42

When to Phone a Friend

Speech Talk ·

2025/07/29

In this episode, we dive into the importance of interdisciplinary communication and how tools like SBAR (Situation, Background, Assessment, Recommendation) can enhance patient safety and care quality. We explore findings from the research article "Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review" by Stock et al., and discuss how structured communication positively impacts teamwork, especially during handoffs and phone-based interactions. We’ll also

en

27:41

Say Ahh

Speech Talk ·

2025/07/15

What does your oral mech exam really tell you? In this episode of Speech Talk, Eva and Emily get down and dirty (with tongue depressors, not drama) and explore why the phrase 'say ahh' is so iconic.They cover what is a normal oral cavity for our geri crowd, how to link findings to clinical hypotheses, and how to improve your diagnostic skills even when patients can’t cooperate as much as you might like. If you’ve ever opened someone's mouth and wondered “...Is that normal?” This one’s for

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