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The Yale Swallow Protocol
The Yale Swallow Protocol is an evidence-based protocol that is the only screening instrument that both identifies aspiration risk and, when passed, is able to recommend specific oral diets without the need for further instrumental dysphagia testing. Based upon research by Drs. Steven B. Leder and Debra M. Suiter, an easily administered, reliable and validated swallow screening protocol was developed and can be used by speech-language pathologists, nurses, otolaryngologists, oncologists, neurologists, intensivists and physicians assistants. In addition, the protocol can be used in a variety of environments, including acute care, rehabilitation and nursing homes. The Yale Swallow Protocol meets all of the criteria necessary for a successful screening test, including being simple to administer, cross-disciplinary, cost effective, acceptable to patients and able to identify the target attribute by giving a positive finding when aspiration risk is present and a negative finding when aspiration risk is absent. Additionally, early and accurate identification of aspiration risk can significantly reduce health-care costs associated with recognized prandial aspiration.
The Yale Pharyngeal Residue Severity Rating Scale
This text is a reliable, validated, anatomically defined, and image-based tool to determine residue location and severity when performing fiberoptic endoscopic evaluation of swallowing (FEES). Based upon research by Drs. Leder and Neubauer, an easily interpreted, readily learned, and hierarchically organized pharyngeal residue severity rating scale was developed for speech-language pathologists, otolaryngologists, and other health care professionals who perform and interpret FEES. The Yale Pharyngeal Residue Severity Rating Scale works equally well for any swallow of interest, whether it is the first, subsequent clearing, or last swallow. The endoscopist simply has to match their chosen swal...
The Beauty of What Remains
The national bestseller From the author of the bestselling More Beautiful Than Before comes an inspiring book about loss based on his most popular sermon. As the senior rabbi of one of the largest synagogues in the world, Steve Leder has learned over and over again the many ways death teaches us how to live and love more deeply by showing us not only what is gone but also the beauty of what remains. This inspiring and comforting book takes us on a journey through the experience of loss that is fundamental to everyone. Yet even after having sat beside thousands of deathbeds, Steve Leder the rabbi was not fully prepared for the loss of his own father. It was only then that Steve Leder the son truly learned how loss makes life beautiful by giving it meaning and touching us with love that we had not felt before. Enriched by Rabbi Leder's irreverence, vulnerability, and wicked sense of humor, this heartfelt narrative is filled with laughter and tears, the wisdom of millennia and modernity, and, most of all, an unfolding of the profound and simple truth that in loss we gain more than we ever imagined.
More Beautiful Than Before
Every one of us sooner or later walks through hell. The hell of being hurt. The hell of hurting another. The hell of cancer, the hell of divorce, the hell of chronic pain. The hell of anxiety, depression, Alzheimer’s, a kid in trouble. The hell of a reluctant, thunking shovelful of earth upon the casket of someone we deeply loved. The point is not to come out of hell empty-handed. There is real and profound power in the pain we endure if we transform our suffering into a more authentic, meaningful life. As the Senior Rabbi of Wilshire Boulevard Temple in Los Angeles, one of America’s largest and most important congregations, Steve Leder witnesses a lot of pain: “It’s my phone that ri...
Neurogenic Dysphagia
This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative t...
Principles of Deglutition
Principles of Deglutition is the first in class comprehensive multidisciplinary textbook to encompass the entire field of normal and disordered deglutition. It is designed as the definitive text for all those who desire to further their knowledge of the dynamic and expanding field of deglutology. The text is created to serve as a treasured reference for clinicians, educators and trainees from such diverse backgrounds as gastroenterology, speech language pathology, otolaryngology, rehabilitation medicine, radiology and others. Principles of Deglutition brings together the state-of-knowledge from 12 disciplines involved in dysphagia through contributions of over one hundred thought leaders and...
The Extraordinary Nature of Ordinary Things
Finding meaning in the mundane is just a matter of knowing where to look. Herewith, the miraculous nature of everyday life is explored. Through vignettes at turns funny and poignant, Rabbi Leder points out those easily overlooked connections between everyday experiences and the teachings of Judaism. God and spirituality can be found in every aspect of our daily routines. Ordinary things--a pet frog, a weekend fishing trip, a roller coaster ride--become extraordinary when reexamined through Jewish eyes. Woven throughout Rabbi Leder's essays are midrashic texts, talmudic excerpts, and passages from the Torah, reflecting thousands of years of Jewish wisdom. Whether recalling a memorable walk al...
