The ordinary work of a swallowing speech therapist – a touching story A 75-year-old Master He had a left-sided cerebral hemorrhage that had caused his swallowing disorder for more than a month. His caregiver and a family member slowly pushed the bed into the swallowing speech therapy room to see me for an evaluation. Oral-facial examination was not cooperative. Drinking test: given 2ml of water could not swallow and kept it in the mouth, delayed swallow initiation, choking and coughing after swallowing. At the end of the examination, I told the family and the nursing staff that the patient’s swallowing disorder was (oral phase, pharyngeal phase mainly), and he could not eat and drink through the mouth at present, and there was a risk of aspiration. His family nodded impatiently, but he was very attentive and patient with the old man as he could see. I told him that he needed to buy some gadgets etc. for swallowing treatment, and he was very cooperative with our treatment work. He said: as long as it is useful for the elderly, buy, buy, buy, buy, all together, the old man is my old man, as long as he can eat, nutrition can keep up, rehabilitation exercise effect can be faster, said he kept sighing ……. I said: Yes! As a speech and swallowing therapist, I will do my best to help Grandpa Ho. He nodded reassuringly. Next: cheek massage; oral sensory motor stimulation training (ultrasonic electric toothbrush, air pulse stimulation, etc.); tongue muscle passive motor training; swallowing electrical stimulation training. After one day, two days, and two weeks of treatment, Grandpa Ho’s jaw moved, his tongue became flexible, the time he gave 2ml of water in his mouth was shorter, he swallowed with strength, and he choked and coughed less often. At this time, I increased the therapeutic feeding for Grandpa Ho, starting with 10ml of rice paste daily, gradually increasing to 20ml, 30ml, 40ml daily, and increasing to a small bowl of about 200ml. His son-in-law was happy to feel that Grandpa Ho’s goal of eating by mouth was getting closer and closer. He joked with him, “Dad, if you can eat now, I’ll give you $1,000 to play mahjong.” After more than a week of feeding training with a tube, Grandpa Ho’s swallowing progressed quickly and he finally pulled out the stomach tube. One day, two days, slowly Grandpa He gradually changed from a single paste diet to a semi-solid diet, and finally he could eat a normal diet. The whole family was very happy that Grandpa Ho could eat by mouth, and his caregiver was also happy to say: How good it is to be able to eat by mouth, now I no longer have to clean the soybean milk machine …….