Feeling thankful for where we are…and where we came fromSomething about the year coming to a close gets me feeling nostalgic. It gets colder (where I live, anyway!), and I love to snuggle up and reflect on the year and how thankful I am for those memories. So, I thought this month I would share some swallowing-related memories. As I have said before, dysphagia is a relatively new field, it can be reassuring to really take a moment to see how far we have come in such a short time and be thankful for the hard work of so many in this field moving us forward.The first feel-good memory is recounting Dr. Jeri Logemann’s work. Considered by most to be THE pioneer in the field of swallowing, she spent over 30 years advancing our field with her research (oh, and the development of the Modified Barium Swallow Study, nbd!). Full confession, sometimes when I am stressed, I pull out her original 1983 purple hardcover book, Evaluation and Treatment of Swallowing Disorders, just to relax.

Next up is the first research journal dedicated to swallowing, Dysphagia. Established in 1986 (just a mere 37 years ago!), through the work of Dr. Michael Groher, Dr. Martin Donner, and Dr. Logemann, it was one of the signs that dysphagia as a field in the US was really a “thing.” It also led to the creation of the Dysphagia Research Society in 1991, with other countries following shortly after in creating organizations dedicated to swallowing research.I have lots more, but will share just one for now: my favorite paper of all time is “Clinical utility of the modified barium swallow” by Dr. Bonnie Martin-Harris et al. It was published in Dysphagia in 2000—eight years before her groundbreaking MBSImP (Modified Barium Swallow Impairment Profile) publication. It examined the vast amount of clinical information that can be obtained from a Modified Barium Swallow Study, and really highlighted everything that can be gained from the MBSS that makes this procedure SO MUCH more than just a “pass/fail, aspiration/no aspiration, what-kind-of-food-is-okay” test.

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

VARIBAR® (barium sulfate)

IMPORTANT SAFETY INFORMATION:

For Oral Administration. This product should not be used in patients with known or suspected perforation of the GI tract, known obstruction of the GI tract, high risk of aspiration, or hypersensitivity to barium sulfate products. Rarely, severe allergic reactions of anaphylactoid nature have been reported following administration of barium sulfate contrast agents. Aspiration may occur during the modified barium swallow examination, monitor the patient for aspiration.

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

VARIBAR® (barium sulfate)

Indications and Usage:

VARIBAR® THIN HONEY (barium sulfate) oral suspension, VARIBAR® NECTAR (barium sulfate) oral suspension, and VARIBAR® THIN LIQUID (barium sulfate) for oral suspension, are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients. VARIBAR® HONEY (barium sulfate) oral suspension and VARIBAR® PUDDING (barium sulfate) oral paste are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients 6 months of age and older.

IMPORTANT SAFETY INFORMATION:

For Oral Administration. This product should not be used in patients with known or suspected perforation of the GI tract, known obstruction of the GI tract, high risk of aspiration, or hypersensitivity to barium sulfate products. Rarely, severe allergic reactions of anaphylactoid nature have been reported following administration of barium sulfate contrast agents. Aspiration may occur during the modified barium swallow examination, monitor the patient for aspiration.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1‑800‑FDA‑1088.

Please consult full Prescribing Information for VARIBAR HONEY here, for VARIBAR THIN HONEY here, for VARIBAR PUDDING here, for VARIBAR NECTAR here, and for VARIBAR THIN LIQUID here.

VARIBAR is manufactured by E-Z-EM Canada Inc., for E-Z-EM, Inc., a subsidiary of Bracco Diagnostics Inc., Monroe Twp., NJ 08831.

VARIBAR is a registered trademark of E-Z-EM, Inc.

See you soon,

US-N/A-2300094 11/23