In this episode, Michelle and Erin tackle when it is appropriate to say “NPO”. That’s right, sometimes it falls on us as the feeding and dysphagia experts to share with the rest of the Interdisciplinary team that we have concerns for safety of PO intake. But, we need to be able recognize how the little one's cardiac, gastrointestinal, and respiratory systems contribute or dictate that NPO status. Again, we need to be able to know when the pleasure and quality of a feed are fading and when our patients need advocacy and support. Baselines change often for our complex patients and this is the episode that differentiates the signs and symptoms of when we can say “NPO” and when we can joyously celebrate moving towards “PO” again.