Chrissy BrackettGuest
Donna ScarboroughGuest
Jess OwensGuest
Jacqueline PetersonHost
Hayley EstremHostAnd what do you think, based on that, the implications are for the clinical setting?

think number one is thinking about, instead of thinking about it as a gag reflex or not a gag reflex, to understand there is a continuum and to understand there are potentially... multiple different types of triggers or even underlying conditions that can be contributing to it.

Number two, I would say that if your treatment isn't working and you haven't had a medical workup, That is a thousand percent the next step.

If you are not starting to even see any progression, why aren't you doing getting a medical workup? And you can that doesn't mean that you have to necessarily stop what you're doing, but you're going to be gaining information that is critical and it might completely redirect what you're doing or you might be focusing on something else while meds kick in or whatever it might be.

And now when I see a kid who potentially, you know, if they haven't been worked up, they need to get worked up.

They have to make sure that If I'll be honest, this is anecdotal, but I will say that if you have a kid that is their reflux is not under control, their gag reflex will persist.

And so I think it's so important that you make those connections with the community and don't expect them to come to you.

Piggybacking off of that, like one of the things Donna and I talk a lot about is the need to be able to assess a gagging severity, like some type of severity scale, because there's so many different interventions for gagging.

But some children, it's very appropriate to start them in a therapeutic environment with touch or exposure to texture or some type of deep pressure or maybe even acupuncture, which Donna can talk a lot about.
And what do you think, based on that, the implications are for the clinical setting?

think number one is thinking about, instead of thinking about it as a gag reflex or not a gag reflex, to understand there is a continuum and to understand there are potentially... multiple different types of triggers or even underlying conditions that can be contributing to it.

Number two, I would say that if your treatment isn't working and you haven't had a medical workup, That is a thousand percent the next step.

If you are not starting to even see any progression, why aren't you doing getting a medical workup? And you can that doesn't mean that you have to necessarily stop what you're doing, but you're going to be gaining information that is critical and it might completely redirect what you're doing or you might be focusing on something else while meds kick in or whatever it might be.

And now when I see a kid who potentially, you know, if they haven't been worked up, they need to get worked up.

They have to make sure that If I'll be honest, this is anecdotal, but I will say that if you have a kid that is their reflux is not under control, their gag reflex will persist.

And so I think it's so important that you make those connections with the community and don't expect them to come to you.

Piggybacking off of that, like one of the things Donna and I talk a lot about is the need to be able to assess a gagging severity, like some type of severity scale, because there's so many different interventions for gagging.

But some children, it's very appropriate to start them in a therapeutic environment with touch or exposure to texture or some type of deep pressure or maybe even acupuncture, which Donna can talk a lot about.
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