WHO ARE WE?
Successful Service Provider Since 1998
InScope is a division of Appalachian Speech Pathology Associates, Inc. (ASPA, Inc.). ASPA, Inc. is a successful service provider of speech-pathology services that was incorporated in 1998. Since then, ASPA Inc. and her dedicated and caring speech-language pathologists have provided high-quality contract speech-pathology services in fifteen mountain and foothill counties in the State of North Carolina. InScope mobile diagnostics was started by the same therapist as ASPA, Inc. and is owned and operated within the state of Nevada.
MOBILE SERVICES THAT ARE RELIABLE AND COST-EFFECTIVE
Our services are performed and completed in your facility making it the easiest option for you.
Serving Patients of All Ages
We strive to improve the quality of life for our patients. We understand that everyone's story is different, and we want to help change yours for the better. With over 26 years of experience, our Speech Pathologists can help you live your best life.
Where Instrumental Visualization Meets Aerodigestive Structure and Physiology
26
Years of Experience
1000+
Satisfied Clients
100+
EBP Examinations Completed
35
Dedicated Staff
members in
NV & NC
WHAT WE DO
Endoscopy with Stroboscopy
This is an instrumental assessment of voice and voice disorders. Stroboscopy is typically ordered by a physician whose patients present with difficulty with vocal quality. Stroboscopy is a reliable instrumental examination that provides a comprehensive assessment of the larynx, true vocal folds including their vibratory characteristics. Mobile services are available outside Reno, NV area only.
MEET OUR PROFESSIONAL STAFF
Dr. Kristine E. Galek
OWNER
Dr. Kristine E. Galek area of expertise is with assessment and intervention of swallowing disorders and paradoxical vocal fold movement. Dr. Galek is the owner of Appalachian Pediatric Therapies and InScopeMobileDx and the co-owner of AZTEC, a continuing education company that is an American Speech and Hearing Association (ASHA) approved continuing education provider. Dr. Galek is also an ASHA approved CE provider and course designer.
MEET OUR PROFESSIONAL STAFF
Ms. Jacquie Rosen
Ms. Jacquie Rosen represents InScope Mobile DX in Las Vegas, Nevada. Her bio is coming soon. Please give us a call to learn more.
Educational Services
- Provide in-service training to nursing staff in nursing care facilities and physician’s offices
- Provide onsite supervisory training of SLPs in FEES administration
- Provide quarterly newsletters containing information on oropharyngeal dysphagia, assessment, treatment, and the necessity of good oral care.
- Provide other continuing education courses for medical speech pathologists
WHAT DO WE DO?
Mobile FEES
(Fiberoptic Endoscopic Evaluation of Swallow)
- FEES is an instrumental examination performed by a qualified and licensed speech-language pathologist (SLP).
- Typically, FEES is ordered by a physician whose patient presents with dysphagia (a swallowing disorder). FEES is a reliable instrumental examination that provides a comprehensive assessment of the upper aerodigestive functions of swallowing.
- FEES assess anatomical structures involved in the pharyngeal phase of swallowing, assesses physiology and sensation of those anatomical structures within the pharynx, aids in the assessment of secretions severity and secretion management, provides direct-assessment of swallowing of food and liquid, and assesses the response to therapeutic maneuvers and interventions designed to improve swallow physiology.
- Mobile services available statewide.
Why Use FEES Instead of MBSS?
- Mobile FEES exams examine physiological swallow characteristics like swallow efficiency and airway protection without leaving the patient’s room!
- A clinician is able to evaluate a patient while voicing, performing non-speech tasks, as well as eating and drinking different liquids and solids.
In addition, a clinician can:
- View the larynx in detail
- View secretion management
- View velopharyngeal tissue health, closure,
- mechanics, and competency
- View the hypopharynx tissue health and mechanics
- View laryngeal tissue health and mechanics
- View structural symmetry
- View activation of pharyngeal walls
- View whether cervical spine health
- is impacting the swallow
- View reflexive and voluntary cough
- Identify lesions
- The staff SLP can request the use of compensatory strategies and get real time feedback.
- The patient and patient’s family can ask questions and
discuss the exam with endoscopist and staff clinician.
- The patient is included in therapy and diet decisions within minutes of exam completion.
Clinical Services
- On-Site or in-office instrumental assessment of patients suspected of oropharyngeal swallowing disorders. Assessments include the use of nasopharyngoscopy and the Fiberoptic Endoscopic Evaluation of Swallow (FEES) protocol.
- Post-assessment consultation with Staff Speech Pathologist, other staff and/or patients.
- 24-48 hour comprehensive, two-page report of assessment results with color pictures
- Direct staff participation in assessment administration (part of assessment time is counted toward Staff Speech Pathologist’s work productivity).
- Same-day response for scheduling patient assessments with a 24-hour turn-around, if needed, without added costs.
- Professional interpretation of swallow physiology
- Exercise-based and compensatory strategies recommended tailored to target the errored swallow mechanics
- Staff clinician can make specific requests during the examination
- Extra precautions and disinfecting processing for COVID positive patients-scheduled without additional costs
Swallowing Problems in Skilled Nursing Facilities
Did you know...
SWALLOW INSTRUMENTAL VISUALIZATION ASSESSMENTS (FEES/MBSS) ARE “BEST PRACTICE” (American Speech and Hearing Association, 2021)
43%
of skilled nursing facility residents have difficulties eating (Clinical Intervention in Aging, 2013)
40%
of skilled nursing facility residents have swallowing difficulties (Clinical Intervention in Aging, 2013)
55%
aspiration rate among skilled nursing facility residents with dysphagia (Dysphagia, 1994)
66%
cheaper to use mobile video-endoscopy than
of an ambulance & hospital-based
x-ray swallow study
⭐ Mobile Instruments exams (FEES) guide clinical decision-making.
⭐ Without instrumentals (FEES) clinics and physicians can not provide the best evidence-based care
⭐ Altered diets can lead to malnutrition and dehydration!
⭐ Malnutrition and dehydration lead to increase infections, reduced wound healing, and increased
re-hospitalizations
⭐ Unnecessary diet preparations, nutritional supplements, dysphagia related illness like UTIs and
hospital readmissions COSTS YOU MONEY!
⭐ Instrumentals (FEES) help your facility avoid the expensive negative outcomes later!
WHAT DO WE DO?
Nasendoscopy
This is an instrumental assessment of the velopharyngeal port. Nasendoscopy is typically ordered by a physician whose patients present with difficulty with resonance. Nasendoscopy is a reliable instrumental examination that provides a comprehensive assessment of the velum, and nasopharynx. Mobile services are available outside Reno, NV area only.
Accessible Instrumental Diagnostic Procedures
InScopeMobileDx was established in response to a need for accessible, economic , and objective instrumental diagnostic procedures for pediatric and adult populations in the state of Nevada, and surrounding states. InScope provides an opportunity for patients to receive convenient, cost-effective, cost-efficient, accurate, and safe instrumental exams in their own environment.
YOU DESERVE THE BEST CARE POSSIBLE
We understand that living with chronic swallowing or voice issues can be debilitating and scary. Our goal is to improve quality of life; whether that’s you or that is the quality of life of your patient. Not being able to swallow is frightening. Eating altered diets is uncomfortable and unappetizing. Drinking thickened liquids can be nauseating and cause other medical issues. Having a hoarse voice can affect your quality of life. We understand! Having a strange breathing issue where you can’t get “air-in” and your asthma inhalers don't work; all the while those close to you think it must be “all in your head” is frustrating and challenging. At times it can be downright terrifying. Let the caring therapists at InScope mobile diagnostics evaluate you or your patients; to make evidence-based skilled assessments, appropriate interpretations, and recommend appropriate interventions to ensure the very best overall outcomes for you or your patients.
