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, allowable on L7 unless otherwise recommended), (2) transitional foods & (3) mixed consistencies.  

Click the button below for a refresher on how to access your facility reports.

TEXT "CONSULT" to the SDX FEES HOTLINE at 860-573-0120 to ask QUESTIONS about FEES & dysphagia care, or to discuss a  

specific patient profile.

IDDSI & FEES Synergy!


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


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

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



  • 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 now cover all of New England, including Connecticut, Massachusetts, Rhode Island, Vermont,                                      New Hampshire & Maine!​

Our mission:  To improve quality of life and accuracy of treatment for patients with dysphagia.

"SDX focuses on function, quality of life and supporting your  therapy plan of care.

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

​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.