Would an AI let my patient drink thin water? Benchmarking LLMs on dysphagia diet safety

This is a submission for the Kaggle Benchmarking Challenge I'm a speech-language pathologist. I split my week between schools and a hospital, and a big part of the hospital work is dysphagia: people who have trouble swallowing after a stroke, with head and neck cancer, with dementia, or with a developmental disability. Concerns about swallowing safety are present in the school setting too. For these patients, the texture of food and the thickness of a drink are a safety decision. If a drink is too thin, it can go down the airway before the swallow is ready, and that can mean aspiration pneumon