Mobile FEES Swallow Diagnostics

Mobile FEES Swallow Diagnostics FEES competency training, FEES biz consulting & support. On-Site Swallow Studies, high-quality images provided on a detailed report completed same day.

Mobile FEES Swallow Diagnostics delivers Flexible Endoscopic Evaluation of Swallowing (FEES), a gold standard swallow study, on-site, no transportation or radiation necessary. Our mission is to help patients to be able to eat foods they love again safely.

Green flags that instantly tell me you'll be an amazing endoscopist1 You genuinely love learning. You are the SLP who is...
09/02/2026

Green flags that instantly tell me you'll be an amazing endoscopist

1 You genuinely love learning. You are the SLP who is always adding to your toolkit and staying on top of current literature. A CEU ju**ie, but the kind who actually applies the work instead of just collecting the certificate. FEES rewards curiosity, because the learning never really stops.

2 You are a hard worker I know that one sounds random, so hear me out. FEES is not only
mentally but also physically demanding, especially as a mobile provider. You are packing, loading, and hauling equipment in and out multiple times a day, then holding a scope steady for fifteenish minutes at a time. That takes real upper body, shoulder, and back strength. Nobody warns you that this job has a fitness requirement, but it does.

3 You are great at pattern recognition. FEES is all about identifying the underlying impairment, and pattern recognition is the skill that makes that click. If you are the person who sees the connections other people miss, you already have the instinct this work is built on.

The traits that actually make a great endoscopist are ones you can build, and some of them you already have.

If you saw yourself in even one of these, you are closer to picking up a scope than you think.

Follow for more dysphagia management tips..

Reminder Dysphagia Grand Rounds is coming up Sept 16 @ 3 PM CST. DM for the link to save your spot!

Here is what happens to patients who never get a proper swallow study. And here is why that outcome is not inevitable.Wh...
09/01/2026

Here is what happens to patients who never get a proper swallow study. And here is why that outcome is not inevitable.

When dysphagia goes without the proper assessment, the risk does not disappear. It just goes unseen. Here is what the research shows happens downstream.

The readmissions. Older adults with dysphagia are readmitted for pneumonia at nearly twice the rate of those without it, 6.7 versus 3.67 per 100 person-years (Cabré et al., 2014). Pneumonia sits inside the CMS readmissions penalty program, so this is a patient safety issue and a facility cost at the same time.

The pneumonias. Stroke patients with dysphagia carry a 3 to 11 fold higher risk of pneumonia (Martino et al., 2005), and a more recent meta-analysis put the odds of both pneumonia and death around four times higher (Banda et al., 2022). The patients most likely to develop it are the silent aspirators, and more than half of patients who aspirate show no protective cough at all (Garon et al., 2009). Those are exactly the patients a bedside cannot catch.

The quality of life. Unmanaged dysphagia moves into malnutrition, dehydration, and the slow withdrawal that comes when eating stops feeling safe, with depression and isolation documented right alongside it (Ekberg et al., 2002).

Here is the part I need you to sit with. Not one of these outcomes is fixed. Every single one hinges on whether someone actually looked at the swallow. A clinical exam cannot rule out silent aspiration. Only instrumental assessment sees what is really happening.

That makes you the fork in the road. You are often the person who decides whether a patient gets a swallow study or gets sent down a path nobody wanted for them.

That is not a small role.

Save this for the next time you need the words for why a thorough swallow study is not optional.

08/30/2026

You are not behind. You just have not had anyone to think it through your difficult cases with.

I’ve said this to so many SLPs who have convinced themselves their dysphagia struggles are a knowledge problem. They think if they were just smarter, just better, just more experienced, the hard cases would not feel so hard.

It is almost never a knowledge problem. It is an isolation problem.

When you are the only person at your facility who manages dysphagia, the only one who really gets what you are looking at, the only one carrying the complex cases, of course it feels heavy. You are doing something genuinely hard with no one beside you to reason through it.

That is not a gap in your ability. That is a gap in your support.

The clinicians who grow the fastest are not the smartest ones in the room. They are the ones who found a room in the first place. People to say the messy case out loud to. People to catch the blind spot they could not see alone. People who get it.

That is the entire reason I built Dysphagia Grand Rounds. Not to hand you another course.

The next one is Wednesday, September 16 at 3pm Central.

We reason through real cases together, out loud, as a group.

If you are tired of thinking through the hard ones alone, comment ROUNDS or DM me and I’ll save you a spot.

08/27/2026

If you have been wanting to think through your hardest swallowing cases with people who actually get it, let me make this easy for you.

Dysphagia Grand Rounds is back.

Here are the details.

When: Wednesday, September 16 at 3pm Central.
What it is: a small group of us, working through real, de-identified FEES/ swallowing cases together, out loud.
Case reasoning, advocacy support, and a live Q&A where you can bring whatever you are stuck on.

I always wished I had something like this earlier in my career.

You do not have to bring a case. You do not have to say a word your first time if you would rather just listen.

Come exactly as you are.

The seat is twenty seven dollars right now. That is the founding rate, the lowest it will ever be, held for the people who come in early, ArkSHA members, & students. Thirty seven dollars for everyone else who signs up after midnight tonight.

This work can be lonely, especially when you are the only one at your facility who cares about it this much. This is the room where you get support and don’t have to carry it all alone.

If you want in, comment ROUNDS or send me a DM, and I’ll get you the link and your spot

08/25/2026

I built the case review I wished I had as a new endoscopist.

For years I worked through my hardest cases alone. No one down the hall who scoped, no one to think out loud with when the bedside and the scope told two different stories. So I built the room I needed, and then I got to watch it become exactly what I hoped.

The feedback from the last session still has me. SLPs told me they finally had somewhere to bring the cases that had been living rent-free in their heads. That they left with reasoning they could actually use on Monday. That for the first time in a long time, they did not feel like the only one carrying this work.

That is the whole thing. That is why Dysphagia Grand Rounds exists.

We reason through real, de-identified cases together, out loud, as a group. Nobody pretending to have it all figured out. Everyone leaving a little sharper and a lot less alone.

💛The next one is happening. Wednesday, September 16 at 3pm.
💛Comment “Ready” below to save your spot.

08/22/2026

Two years ago I was rebuilding from the ground up.

I restructured our in home therapy business and started an adult neuro clinic.

I scaled back my Mobile FEES business to focus and improve quality.

If you are at the bottom of that climb, keep going.

I do not say that to sound impressive. I say it because I remember exactly what the bottom felt like, and I remember not believing anyone who told me it would get better.

Back then it was just me.

I knew that I had to make some changes because I was working way too many hours and everyone around me seemed happy but I was not sleeping, working out, or doing anything except work.

So I started the clinic side of the business over and re-built it brick by brick. I still had a scope, a new idea, and a whole lot of nerve I did not actually feel. I second-guessed every decision.

I wondered if I had made a huge mistake and thought a lot about just going to get a job.

There were stretches where the only thing keeping me going was that stopping felt worse than continuing.

What I could not see from down there is that the climb is not one big leap. It is a hundred small, unglamorous days stacked on top of each other.

The patient you helped. The referral source who finally said yes. The invoice that got paid. None of them felt like much on their own.

Together they became a sustainable, profitable practice.

So if you are somewhere near the bottom right now, building something no one else can see yet, wondering if it is worth it, I want to be the person who tells you the truth.

It is worth it.

The confidence comes from the climbing, not before it. You become the person you need to be in order to make it happen.

You do not have to feel ready.

You just have to take the next unglamorous step.

Keep going. I am so glad I did

A clinical swallow evaluation is a screening tool. We treat it like a diagnosis every single day, and our patients pay f...
08/20/2026

A clinical swallow evaluation is a screening tool. We treat it like a diagnosis every single day, and our patients pay for that.
Here is what the bedside actually is.

A cranial nerve exam, trials of food and liquid, watching for outward signs of aspiration, maybe a 3 ounce swallow test &/or an EAT-10.

That is genuinely useful information, and it has a real job.

What that job is: it tells you who you should be worried about. It gives you a starting point for your hypothesis.

That is where its value lives, and that is where it ends.

Here is what it cannot do.

It cannot see the actual swallowing anatomy and physiology in motion.

The most important part happens in the pharynx, out of view, in about a second.

You are inferring from the outside.
And the patients most at risk are the ones who give you no outward sign at all.

A clean bedside does not mean a safe swallow.

The quiet ones are the ones who worry me most.

So here is the whole job.
The bedside points you toward the patients who need a closer look.

Seeing the swallow in motion, finding the underlying impairment, and building the plan takes a FEES or a VFSS. That distinction is not a technicality.

It is the difference between guessing and knowing.

This is exactly the kind of reasoning we work through together in Dysphagia Grand Rounds.

It is coming back refreshed, and the date is being set right now. If you are on the waitlist, check your email and cast your vote.

08/19/2026

Reviewing a case is not reading your findings out loud.

It is a way of thinking.

The history that matters.

The findings that shape the decision.

The real clinical question.

Your reasoning.

The plan.

Here’s the best part.

Once you learn to think this way, it stops being something you do for the hard cases. It becomes how you think about all of them, and you get sharper across your entire caseload.

That is a skill you can build on.

08/19/2026

The part of my job that never gets old.

There is something about watching a swallow happen in real time that still gets me, even after all these years and all these studies.

The timing.

The mechanics.

The quiet moment where I can see exactly what is happening and know exactly how to help.

Most people will never think twice about swallowing.

It just works, until it doesn’t.

Getting to be the person who looks closely, who catches what others miss, who gives someone their safety back, that is a privilege I do not take lightly.
Can you relate? Tell me your why below!

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2801 Old Greenwood Road
Fort Smith, AR
72903

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+14792221425

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