"I gained a deep understanding of normal and disordered esophageal function, deeper understanding of how respiration impacts esophageal transit. Great cases, clear description of concepts, and thorough explanations." J.H. (Dec. 2024)

"Discussing the steps for completing the DIEZ technique was beneficial. I liked seeing multiple examples of the technique in MBSS." B.K. (Dec. 2024)

"The physiologic explanations are useful for instructing this technique. Clear descriptions and many videos and manometry/impedance charts." N.B. (Dec. 2024)

"The technique itself for patient's complaining of globus was beneficial. The course was very informative and interesting to know one technique can make a difference." G.D. (Dec. 2024)

"I found the entire course to be beneficial to my daily practice. DIEZ will allow me to treat so many patients I previously thought I had nothing to offer as help. The pace of the course was good. The instructor had an excellent ability to explain and teach this topic." T.O. (Dec. 2024)

"Discussing the steps to swallowing with esophageal issues was beneficial. I liked the video format." T.G. (Dec. 2024)

"This is a helpful technique for esophageal dysphagia. I thought the handouts were very helpful." E.A. (Dec. 2024)

"VFSS examples and DIEZ implementation were beneficial. I enjoyed that many examples were offered." J.R. (Dec. 2024)

"It was beneficial listening to all the different cases of people this method helped. I liked learning how to perform the DIEZ maneuver and watching the MBSS of the strategy in real-time." K.S. (Dec. 2024)

"I see patients for OP videofluoroscopic studies and the complaints mentioned throughout this course are the ones that I routinely hear. I will definitely try the DIEZ technique on these patients going forward. I appreciated the video examples and the background information re: the esophagus, crural diaphragm." M.K. (Dec. 2024)

"Learning the DIEZ method will be life changing for my outpatients who have already had full GI work ups. This course was comprehensive and informative." M.D. (Dec. 2024)

"I liked the practical application of the technique." C.G. (Dec. 2024)

"I have experienced GREAT results implementing the DIEZ methods with clients. Clients are so thankful and compliant the simplicity and efficiency of the maneuver." P.P. (Nov. 2024)

"I liked the diagrams, MBSS videos shown, research background provided, thorough anatomy and physiology provided in relation to esophageal stasis/clearance." J.H. (Nov. 2024)

"I liked the rationale for this new technique, slides, and clear instructions." A.N. (Nov. 2024)

"This course really opened up my eyes to a technique that may help people who complain of Globus, food sticking, and excess mucous. I perform multiple OP swallow studies per week, where I tend to meet people with these complaints. I used to refer them back to their GI, but now have a new tool to try that may help! Very clear and organized presentation of the material." C.L. (Nov. 2024)

"I definitely found the information very interesting and helpful. The presenter explained everything in a concise manner, making it comprehendible." A.G. (Nov. 2024)

"Absolutely a game changer! The best part is patients know and report relief immediately once they get the technique down and it’s not hard to train." R.H. (Nov. 2024)

"Learned how to do the DIEZ technique. Informative course about esophageal anatomy." M.I. (Nov. 2024)

"Patients who are aware of their bodies have excellent outcomes.  Yes, it works!  My 97-year-old patient who'd been practicing yoga most of her life was my best case.  I wish The Diez Method could be a required CEU for all medical SLPs." M.W. (Nov. 2024

"The technique is effective on patients and self."  A.H.T. (Nov. 2024)

"I have trained 10 patients on this technique and 6/10 state that it has helped them tremendously.  It is so exciting to see someone experience an immediate improvement of symptoms when using this technique." D.H. (Nov. 2024)

"I did use the technique with my husband and it worked!!  He was suffering from a constant cough,  hiatal hernia, and GERD.  Making him do the DIEZ technique with liquid wash helped greatly.  The coughing immediately decreased." R.H. (Nov. 2024)

"I like the technique in itself. How practical it is and how thorough the research citations were." M.P. (Nov. 2024)

"The videos of swallow studies as well as the other images were very helpful to understand the connection of breathing/swallowing and affects on esophageal phase of swallow. Course was very comprehensive, and presented in an easy to understand format." T.M. (Nov. 2024)

"I liked the explanation of the relationship of respiration and esophageal pressures and how this can be manipulated to improve esophageal clearance and reduce pts symptoms. Instructions to provide patients regarding respiration to potentially reduce esophageal stasis." M.T. (Nov. 2024)

"Anatomy and physiology relating to globus sensation / esophageal stasis, the benefit of the technique, research results, and how to complete the technique effectively." J.H. (Nov. 2024)

"Very interesting topic presented in an easy format. I like that a technique is available for patients with continued complaint of globus when all tests have been negative." T.B. (Nov. 2024)

"The DIEZ technique was beneficial. I liked all of the information." K.G. (Oct. 2024)

"The mechanics of the technique were helpful to discuss. The course was very clear and informative." L.B. (Oct. 2024)

"I felt like I couldn't help my patients with esophageal problems. Now I feel like I have something for them. I liked the explanation of anatomy and physiology." J.C. (Oct. 2024)

"I liked the organization and honesty by the presenter." K.M. (Oct. 2024)

"Actually having a treatment technique for non-pathological esophageal dysphagia will be beneficial. I enjoyed learning about the complex relationship between breathing and swallowing." C.K. (Oct. 2024)

"Step-by-step instruction for the patient and rationale for how it works. I liked the MBSS videos showing esophageal clearances, description/images of physiology, and handouts to give to patients." C.W. (Oct. 2024)

"The DIEZ is the first technique or intervention I've seen in which SLPs can actually address patient complaints of globus sensation. The presenter was very informative and provided evidence-based research to educate." A.T. (Oct. 2024)

"It was beneficial discussing how intricate respiration and swallowing are involved with each other. I liked the video examples." M.V. (Oct. 2024)

"The handout of instructions for patients is excellent. I love how it provides a rationale. Course had very functional information that you can go back and use with patients immediately." C.L. (Oct. 2024)

"Discussing how the technique benefits patient's c/o specific symptoms was beneficial. Very practical information. Can use almost right away. The speaker provided clear instructional videos/examples and provides when this technique is helpful and when it may not be." K.S. (Oct. 2024)

"This was an excellent presentation on clinical findings that have been adapted into practice for specific problems presented by patients with esophageal-related issues, i.e., belching and Globus when no other pathology is present. The course was thorough, and presented logically. I learned a lot about esophageal disorders, testing methods, and research about respiration and esophageal pressures, as well as the Diez technique." N.R. (Oct. 2024)

"Everything was beneficial because we always get patients complaining of Globus sensation. I liked all the examples." L.M. (Oct. 2024)

"I have not heard about any possible treatments for esophageal clearance, so I'm very excited to try this with my patients. I thought content was practical and will easily translate to clinical practice." K.L. (Oct. 2024)

"I work in the acute setting and encounter so many patients who complain of Globus sensation and esophageal issues, but symptoms are not reflected in diagnostic testing. I am so grateful for another strategy to promote comfort and symptom relief for these patients! I enjoyed the handouts, video of the speaker, PowerPoint slides." A.C. (Sep. 2024)

"Very practical information and readily able to be implemented. I liked the discussion on the esophageal and lung relationship." C.S. (Sep. 2024)

"Treatment options were beneficial. I liked the examples shown." R.K. (Sep. 2024)

"I loved the handouts describing DIEZ for both the patient and PCPs." L.G. (Sep. 2024)

"Use of the DIEZ approach for patients who complain of excess mucus and Globus sensation (which is almost EVERY PATIENT I SEE). It is nice to have a tool in my toolbox to try with these patients. Excellent presentation of the early literature/research behind this technique. I am sold, and I can't wait to read more about new research that looks into this very promising approach." C.A. (Sep. 2024)

"I liked the practicality and ease of reviewing this information." R.H. (Sep. 2024)

"Explanation of pathophysiology and how this technique can help to address globus. I liked the combination of data and real case scenarios." H.S. (Sep. 2024)

"Use of the DIEZ technique for those with c/o excess mucus, globus sensation, and throwing up after meals despite VFSS and GI reports being unremarkable. I liked the pacing; well thought out; good dispersement of videos throughout. I have already recommended this course to the SLP who does the VFSS at the local hospital." R.A. (Sep. 2024)

"Breathing techniques and case studies were helpful. I liked the time flexibility." V.H. (Aug. 2024)

"Discussing the technique & rationale behind it was beneficial. The presenter was engaging/interesting." P.P. (Aug. 2024)

"The DIEZ technique was beneficial as I have been looking for something to help my patient status post UPPP surgery in 2007 and has to cough out residual mucus repeatedly every day. I liked the video demonstrations and the step-by-step way you have justified why and how it makes a difference." P.S. (Aug. 2024)

"The handout was exceptional, and presentation was very good." T.S. (Aug. 2024)

"The presenter was fantastic and I loved all the visualizations and case studies to help me understand and apply. The entire presentation was great." J.M. (Aug. 2024)

"I liked the video examples, and the use of Kaypentax to measure respiration along with VFSS, HRM impedance testing for added information." K.M. (Aug. 2024)

"I liked discussing the importance of completing an esophageal screen on patients especially those who complain of dysphagia in the absence of any obvious pharyngeal difficulty. Taking it at my own pace." C.F. (Aug. 2024)

"Since I work in an adult outpatient clinic that gets a lot of referrals for voice and swallow issues, I see a LOT of patients with globus sensation. This is an invaluable strategy for me! I loved the real case examples, the MBS videos, and Roxanne's communication & teaching style. I really appreciate courses from practicing clinicians - it's so much more realistic." E.W. (Aug. 2024)

"I have already used the technique with 5 participants in our program and one staff member. All report improvement! Watching the videos was very helpful." D.H. (Aug. 2024)

"It was beneficial understanding the relationship between the pulmonary system and the esophagus. I liked the case studies and review of HRM and impedance measures." J.K. (Aug. 2024)

"I gained a better understanding of how lung volumes interact with esophageal pressures and esophageal emptying. It gives me another tool for evaluating and treating patients who complain of Globus. I liked the real world examples and step by step for how to teach the technique!" R.G. (Aug. 2024)

"I enjoyed watching and listening to SLP "in action" performing the technique during MBS! I liked all of the information! It was amazing." E.N. (Aug. 2024)

"Everything! The course was very practical with an excellent source of references." J.A. (Aug. 2024)

"The entire lecture will benefit my practice that is embedded within a laryngology clinic. We have many patients with breathing dysfunction and "GERD" that does not get better with PPIs or has been ID via instrumental testing. This gives me further motivation to spend more time on diaphragmatic breathing. RDG's presentation was one of the strongest offerings I have seen in many years. The foundation was beautifully laid, the anatomy reviewed, and the case studies each had a point!" K.D. (Jul. 2024)

"Physiology of the DIEZ technique was helpful. I liked the rate of presentation and some redundancy to drive the points home." L.K. (Jul. 2024)

"The entire presentation was beneficial! I liked the immediate usefulness of information with my current patient caseload." L.J. (Jul. 2024)

"I liked everything in this course." J.S. (Jul. 2024)

"The DIEZ technique will hopefully bring relief for many of my nursing home and short-term rehab patients. All the information was presented in an easy-to-use format. Plenty of science/research to back up the efficacy. Dr. Gross is a very good speaker and explains things well. I am excited to use this technique tomorrow at work!" G.S. (Jul. 2024)

"Using the DIEZ technique during a VFSS to assess its usefulness as a compensatory strategy was beneficial. I enjoyed the in-depth rationale as to why this technique works." B.D. (Jul. 2024)

"I liked all the information about pressure dynamics and the specific instructions for the use of the technique." C.H. (Jul. 2024)

"Implications of technique were beneficial to discuss. Good examples." B.E. (Jul. 2024)

"Everything in this course was beneficial." A.K. (Jul. 2024)

"Finally, something effective to offer patients with phlegm issues that interfere with their swallowing." L.L. (Jul. 2024)

"Pre-made patient handout was beneficial. The detailed, evidence-based nature was much appreciated." C.F. (Jul. 2024)

"Discussing the Globus sensation and providing patients with another tool was helpful. I liked how the course was logically laid out." A.T. (Jun. 2024)

"I tried it on myself when swallowing pills, and it works! I will definitely be using this with my patients who complain of a Globus sensation and have a diagnosis of GERD!! I liked the relevance and positive, practical aspect of this course!" A.V. (Jun. 2024)

"The relationship of esophageal physiology to respiration as well as the DIEZ technique was beneficial. I liked everything. Another outstanding course by Dr. Roxann Gross." R.A. (Jun. 2024)

"Viewing the MBS and the DIEZ protocol in action was helpful. I liked the explanation of the HRM." J.S. (Jun. 2024)

"I liked both the DIEZ technique and the underlying support/rationale for it working for stated clients." M.M. (Jun. 2024)

"I have many people who complain of Globus. I appreciate the explicit instructions about this technique and the extensive review of the research/evidence; this might be another option or "tool" in my toolbox for how to go about helping patients with symptom mgmt." R.Z. (Jun. 2024)

"This is a fascinating topic and I can't wait to try on my patients specifically during outpt mbs - majority are patients with c/o globus. I liked the case studies." L.E. (Jun. 2024)

"I like that this is a new horizon in dysphagia management and something possible that we can offer to the appropriate patient to potentially provide them some relief from their symptoms." K.F. (Jun. 2024)

"It was beneficial to discuss how respiration affects esophageal clearance. The course was easy to follow." M.W. (Jun. 2024)

"Excellent offering in a new technique/strategy to help clients manage their issues." K.W. (May 2024)

This program is offered for 0.45 ASHA CEUs (Intermediate Level; Professional Area).

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.

ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

• Current ASHA Member
• ASHA Certificate of Clinical Competence (CCC) Holder
• Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
• Credentialed by a state regulatory agency to practice SLP or audiology
• Credentialed by a national regulatory agency to practice SLP or audiology
• Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
• Currently enrolled in a master's or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.