Diagnose and adios? Stay a while longer, my friend.

Diagnose, stabilize, and move on to the next chart. That's a common model in acute care, but it's the one this team walked away from. One patient sat trached, decannulated, retrached, and off food, stuck until his care team decided the plan wasn't working and changed it. Three days later he was doing seventy-five to a hundred swallows a session. Four weeks after that, he was eating regular food, off the trach, and walking home. That case was one piece of a bigger shift. The SLP team at Johns ...