Rebecca Harb and Lyndal Holmes are the principal speech pathologists at Evolve Speech Pathology. Together they have over 30 years’ experience working in both the public and private speech pathology sectors. After working in specialist, adult speech pathology positions within a large tertiary Sydney hospital, Rebecca and Lyndal wanted to bring those specialist skills into the community to provide high quality speech pathology services normally only accessible in the hospital system.

That decision lead them to create Evolve Speech Pathology, a service where their high-level skills in dysphagia assessment and management, head and neck, voice and communication disorders can come together to provide quality adult speech pathology services.

Rebecca and Lyndal bring their own unique set of skills and experiences to Evolve Speech Pathology. Rebecca has a keen interest in the management of head and neck cancer having worked for a number of years in the Crown Princess Mary Cancer Care Centre at Westmead Hospital. This specialist role included the management of patients with various cancers of the head and neck in a multi-disciplinary setting and involved clinical support in swallow rehabilitation in the context of surgical and/or pre and post radiation treatment, tracheostomy and laryngectomy care. The management of these patients also required regular use of videofluoroscopic swallow studies (VFSS)and fibreoptic endoscopic evaluation of swallowing (FEES).

Lyndal previously coordinated the Westmead Tracheostomy service for a number of years, providing highly specialised consultations to those patients with a tracheostomy tube within the hospital and the wider community. Lyndal has an interest in dysphagia management, particularly in the administration of objective assessments including videofluoroscopic swallow study (VFSS) and fibreoptic endoscopic evaluation of swallowing (FEES). Lyndal developed a high level of expertise in this area after coordinating the weekly VFSS clinic for over a decade whilst also providing specialist speech pathology assessment in the multidisciplinary voice, swallow and airways clinic at Westmead Hospital.

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