I don't know. When I met with the speech pathologists for the modified swallow test, they were emphatic that I keep in touch as they would be able to help me as my condition (presumably) progressed. During that appointment they advised me to eat a bite, drink, eat a bite, etc. To tilt my head forward when swallowing. Today, my doctor also mentioned thickening agents, but this is only effective for some people, depending on why they choke. I'm curious to know what else may be suggested. It was too late in the day by time I got home to try finding out if there is someone I can go to on "my" side of the Hudson. I really liked the speech pathologists that saw me at New York Eye and Ear, but its exhausting going into the city (I'm so close, but yet so far away! we actually have a view of Manhattan from our windows at home) if I can get someone in Jersey instead, its going to be preferable just due to wear and tear on me.