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Mom has benefited from "ordinary" speech therapy, obtained conveniently at her NH, and covered by Medicare.  She also had a fancy swallowing test done, where a speech pathologist evaluated what was going on by watching the xray (or whatever) of some stuff (radioactive I guess) as Mom swallowed it.  The pathologist was then able to make some very specific recommendations to the therapist back at the NH.  So -- even if the Silverman therapy is not available, I'd encourage anyone with speech/breathing problems to give speech therapy a try.  And yes, it's a common problem.

Mary Rack
cg for Mom (75/5)
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Overland Park, KS