
Truth: Water is sometimes recommended as the only thin liquid a person can have if good oral care can be ensured.

Don’t assume that a “dysphagia diet” is pureed food with honey-thick fluids.Ħ) Myth: If a person is on thickened liquids, they can never have water. SLPs do a detailed assessment that looks at the underlying impairments, and food/drink recommendations are made separately, based on those findings. It’s possible to be safest on thin liquids and pureed solids (if the oral phase is weakest), or on regular solids with thickened fluids. Truth: Food and liquid recommendations are not dependent on one another. Was the person coughing or choking? If he was choking, you should probably give the Heimlich maneuver instead of writing it down.ĥ) Myth: Thickened liquids must be recommended along with modified solids. Please be specific when documenting trouble at mealtimes. Technically, choking is about not being able to breathe because something is obstructing the airway, but the term “choking” is often confused with “coughing”. It takes air to cough, so if you’re coughing, you’re breathing. Truth: Related to the one above, coughing is protective.

But as above, you need to actually see what’s happening to know for sure. It can also be from another medical condition and completely unrelated to eating. A cough can be a sign of aspiration, but it can also be the way a person protects themselves from aspiration. A strong cough is a good sign you’re actually not getting food caught in your lungs. Truth: A cough is a protective reflex meant to expel things from the airway. Nobody has x-ray vision.Ģ) Myth: If you cough, you’re aspirating. The only way to tell if someone is taking food or liquid into their lungs is to see it on an instrumental swallowing assessment (MBS/VFSS or FEES). Truth: It’s called silent aspiration for a reason. She knew she’d been totally successful with her Gag Reflex Atrophy.1) Myth: If you don’t cough, you aren’t aspirating. He quickly grew and hardened as she breathed a second life into his spent manhood. So she took his flaccid member in her mouth and began to succ. Soon however she once again wanted to take in his meat and taste his seed. He fell back on the bed after he was spent and she went to snuggle on his chest.


The first blast was a motherload indeed, but Tori’s cheeks and throat worked she was swallowing his semen as fast as he was pumping it into her mouth. She closed her eyes and she felt him swell in her mouth. As she bobbed diligently back and forth she heard Matt moan and grip her shoulders strongly. But as she pulled down his pants and took his hardening member into her mouth, she realized with glee it had been a total success. Matt had a proud 8 inch dong, and so wasn’t to be taken lightly. Eager to try it out, she texted Matt and told him to come over. After a month or two of holding a tooth brush at the back of her mouth for 10 minutes every morning and night, she felt she had finally gotten rid of her gag reflex entirely. She enjoyed the praise and attention she garnered but she needed her BJ’s to be legendary. Tori had been working on trying to stop gagging every time she went down on a guy.
