Mr. D a 65-year-old man with PD for about 10 years comes to your outpatient office for re-evaluation. • Denies weight loss, and pneumonia.

Mr. D a 65-year-old man with PD for about 10 years comes to your outpatient office for re-evaluation. • Denies weight loss, and pneumonia. • Video swallow study 5 years ago with mild dysphagia including poor oral control, delayed initiation, penetration of thin liquids but no aspiration. • Complains of: o Sense of aspiration ~10% of the time o Sense of pharyngeal residue with tough/chewy foods • Wife complains of dysarthria and dysphonia, but patient himself doesn’t notice. • EAT-10 score of 19/40, filled out just before your conversation with him. Physical exam/presentation: • Describes himself as a full oral feeder, avoids popcorn and nuts • Alert throughout, attentive, cooperative, pleasant • Follows basic commands, answers questions appropriately when directly asked • Relies on wife to give much of the history and answer questions but disagrees with her/corrects her frequently • Mild hypokinetic dysarthria, fully intelligible • Brief oral mech exam grossly WFL except for mild tongue tremor. Based on this information what would be an appropriate PO diet