Thursday, January 22, 2015

Getting a Good Swallow

When was the last time that you had a good swallow? Do you ever think about swallowing, or do you take it for granted unless you have a sore throat? Does having a sore throat make you appreciate your ability to swallow under normal circumstances, or do you forget all about it after you’ve healed and moved on?

I personally think about swallowing a lot…like every day a lot. I call it a double swallow because it seems like I have to try it twice to make it works once, and even that is a half-assed attempt to get it right. The MS Society states that it is a “Delay in triggering the swallow: “I can't get my swallow started.”’

I can't get my swallow started????? What kind of stupid ridiculous crap is that? It makes no sense, but it sounds a lot like my so-called double swallow, which doesn’t make sense either.

Even with a sore throat the swallowing function works. The body is a complicated piece of machinery (not talking cyborgs…yet), but moving food, liquid, gum, pennies, saliva, or anything else that you put into your mouth from your pie hole to your stomach doesn’t seem like the most complicated piece of the machine (just pissed off a bunch esophagus junkies and smart people with that one).

The problem is that I know how to swallow, or at least thought that I knew how to swallow because I have been practicing it successfully my entire life. How do I know that I have been successfully swallowing my entire life? I’m alive and not dead from choking…point for me.

So since I know how to swallow, this double swallow crap sucks. It’s hard and it takes work. I’m not fully afraid of hard work, but I want to take my swallow for granted like I used to.

Seriously…a good swallow is a memorable thing when you don’t get very many of them. I had one, two days ago. We were in the car heading home. My wife was driving because neither one of us felt safe with me behind the wheel. I was in the passenger seat playing on my phone. We were stopped at a red light behind a few cars, waiting to turn right, off of Fourth Plain onto Andresen. Right then and there, as we were stopped in front of some check cashing place waiting for the light to turn green, it happened…I swallowed…a perfect “normal” swallow. It felt so good, so indescribable, and so incredibly perfect.

I wanted more.

Why did I have to be greedy? Why couldn’t I be happy with what I got? No, I had to press my luck and try to duplicate the swallow. Maybe I was better, and my double swallowing days were gone; maybe not permanently, but for a while at least?

Disappointment set in…the normal everyday take for granted swallow was nothing more than a fluke, and trying to duplicate it sort of cheapened the memory of it. It was a good moment, and I’ll remember it for a long time; maybe not the specifics, but that I still had a good swallow left in me and that I could still do it.

I know that I’ll have a lot more swallows in my days to come, both good and bad. I can deal with it because it won’t kill me (this one might actually, but I’m not going to tell anybody that…including myself). Yes it is a hindrance, but it’s not a game changer. You always have a choice on how you deal or react to every situation in life, and I choose the positive path.
 
 

 Let’s hear more about what the National Multiple Sclerosis Society has to say about this:

Common swallowing symptoms

These problems are typically mild or transient. But when chronic, they can lead to dehydration or poor nutrition. In severe cases, food or liquids can enter the lungs, which can lead to “aspiration” pneumonia. Common issues include:

  • Delay in triggering the swallow: “I can't get my swallow started.”
  • Residue left in the throat due to weakness: “It feels like there is still something stuck in my throat.”
  • Inadequate airway protection (with possible aspiration) due to weakness or timing problems: “It goes down the wrong tube and I cough.”

Swallow more safely

  • Take care of your mouth. Brush your teeth and tongue twice daily to reduce bacteria and the risk of pneumonia, should aspiration occur. (Regularly visit the dentist also.)
  • Sit upright at a full 90-degree (or right angle) position when eating or drinking.
  • Take small sips and bites to safely control the amount of food you’re ingesting.
  • Take follow-up dry swallows to clear any residue left in the throat.
  • Cough or clear your throat and swallow again to protect your airway.



As always…please check what else I am up to at:

 

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