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Nancy Brough Retired medical speech pathologist


I can answer any question about swallowing disorders and acquired and/or developmental communication disorders. Examples are aphasia, brain injury (traumatic or from strokes), and degenerative neurologic diseases. I also have specialized knowledge in craniofacial disorders (i.e., cleft palate.)

Experience in the area

Experience in the area: I practiced as a speech pathologist for 20 years.


BA/MA Communicative Disorders, CSUN 1981/1986 Clinical training at UCLA and West Los Angeles Veterans Administration Medical Center.

Something interesting about this subject that others may not know:

"Speech pathologist" is really a misnomer. In this profession, clinicians are trained to evaluate and treat disorders of voice, speech, language, swallowing, fluency, and cognition.

Something controversial or provocative about this subject

There is ongoing debate whether a speech pathologist or an occupational therapist should treat swallowing disorders. Speech practitioners have the training in the anatomy and physiology of the upper aerodigestive tract, whereas OT has knowledge of feeding (actually getting the food to the mouth.)

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    K = Knowledgeability    C = Clarity of Response    P = Politeness
Cameron01/11/14101010Thank you very much to take the .....
Gehan08/24/111010Thanks will try to put on You .....
david08/15/10101010Thanks for your prompt and reasoned answer .....
Stephanie B. Potter04/09/10101010Thanks, Nancy!
Chris07/28/09101010Thanks your input has helped a lot .....

Recent Answers from Nancy Brough Retired medical speech pathologist

2015-05-03 Results of Scan:

Hi, Karen,    This report tells about the condition of the bones and soft tissues in your skull. Basically, you just have inflammation and polyps in your sinuses. Polyps are not dangerous, as they are

2015-03-22 what is wrong with me:

My guess is the green secretions you have are from your sinuses draining. Nasal polyps can obstruct sinuses, making it difficult for them to drain and creating a low-grade infection. Anatomically, polyps

2015-03-17 what is wrong with me:

Hi, Helen,  My sense is you have a bacterial middle ear infection as a secondary infection from the throat virus you had. That would explain several things:  1. Balance problems due to pressure on the

2013-04-18 Cerebral Palsy Feeding difficulties:

Hello,  It's a bit difficult to give proper advice without examining your son, so I'll give you some general advice for feeding difficulties.  It sounds like he has "oral defensiveness", which is common

2013-04-03 swallowing:

When acid reflux disease (GERD)is present, the sphincter at the top of the esophagus tends to be extra active in order to prevent acid from reaching the airway. Because it is extra tight, it can be difficult


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