SDX FEES FACTS: ​​​ 

  • More than 90% of aspiration episodes occur BEFORE or AFTER​ the swallow, the stages of the swallow a FEES is most adept at viewing.  (Smith, Logemann, et al, Dysphagia, 1999: 14​​​; 1-7)


  • ONLY FEES can "see" a resident eat an entire meal...this is key considering that aspiration may not occur until at least 10 trials of a liquid are swallowed! (Baijens et al, Dysphagia 2014:29; 583-590)


  • An in-color FEES actually gives a bird's-eye-view of secretions, anatomy & physiology, in contrast to the black & white x-ray taken during an MBSS (modified barium swallow study).


  • We cover all of New England, including Connecticut, Massachusetts, Rhode Island, Vermont,                                      & New Hampshire.​


​Established in 1997 as Swallowing Diagnostics LLC, SDX provides resident-focused bedside swallow testing

to 450 skilled nursing facilities

across New England.

Our compassionate

FEES Specialists are experts in

post-acute dysphagia care.


Are you new to FEES? 

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TEXT "CONSULT" to the

SDX FEES HOTLINE at 

860-573-0120 to ask QUESTIONS about FEES & dysphagia care, or to discuss a  specific case.

See the FEES advantage with SDX, now covering all of New England.

Meet SDX FEES!

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P.O. BOX 4081 Windsor Locks, CT 06096 US              +1 (860) 573-0120            Katrina@SDX-FEES.COM

Swallowing Diagnostics © 2018-2023  |  All Rights Reserved

Our mission:  To improve quality of life and accuracy of treatment for patients with dysphagia.
"SDX focuses on function, balancing quality of life and risk management.  

Each resident's swallowing concerns, safety and goals are our priority."

IDDSI & FEES Synergy!

Swallow testing in 48 hours, right at your resident's bedside!


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TO SEE a FEES in ACTION, CLICK   HERE!  


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Specific IDDSI framework concepts require evaluation for inclusion on many diet levels!  A FEES can directly assess specific food items including (1) regular bread products (identified as HIGH-CHOKING risk items, not allowable on minced & moist/MM5 or soft & bite-sized/SB6 unless otherwise recommended), (2) transitional foods, like ice cream & (3) mixed consistencies, like soups and cereal.