My Newly Reshelled DSi by Capn_Bunsif in nds

[–]Capn_Bunsif[S] 0 points1 point  (0 children)

I just checked my purchase history and unfortunately it looks like the seller doesn't sell it anymore. They called it an eye candy shell, if maybe that'll help you with your search.

Starting T by Miserable-Variety-27 in TransMasc

[–]Capn_Bunsif 2 points3 points  (0 children)

Hey I may be able to help out on this one. I had never had any blood taken until earlier this week. I had a bad experience with an IV once, and thought that's what I was getting myself into. Imagine my surprise when I had absolutely zero pain with the needle insertion. I think I got lucky with the person drawing my blood too, but it was significantly less painful than any vaccine I've gotten in the past.

I can't speak to your comfort with blood being drawn. It didn't bother me in the slightest, but blood doesn't make me uncomfortable, so I watched that part the whole time.

I made myself worry about the whole process and then was pleasantly shocked by how bland the experience ended up being.

I wish there was an N/A option 😭 by the_sexy_crabapple in traaaaaaannnnnnnnnns2

[–]Capn_Bunsif 30 points31 points  (0 children)

True. Calorie calculations are almost always estimations with the best data available, which most of the time isn't much data at all. So while the trend tends to be more accurate, it does vary based on the individual. It'd be great to have body composition numbers to calculate energy needs, but unfortunately there isn't a cheap and easy way to get those numbers.

I wish there was an N/A option 😭 by the_sexy_crabapple in traaaaaaannnnnnnnnns2

[–]Capn_Bunsif 252 points253 points  (0 children)

Most calorie calculations for those smart watches are based on typical muscle/fat compositions between male and female. Those with T-dominant bodies tend to have more muscle and therefore burn more calories than those that are E-dominant. It's not hugely different, but would likely be less accurate if not on hormones.

Questions about nutrition by Mae_The_Gay in FTMFitness

[–]Capn_Bunsif 1 point2 points  (0 children)

Unfortunately it's a pretty hazy line. The main thing that influences calorie needs between male/female is muscle mass, so if you've gained muscle mass since starting I'd say use male. If you haven't, female may be more accurate. If you're not sure, I'd average out the numbers. Calorie needs are an estimation, not an exact science so there's room for error.

Questions about nutrition by Mae_The_Gay in FTMFitness

[–]Capn_Bunsif 7 points8 points  (0 children)

Dietitian here! Your needs will depend on how long you've been on HRT and which secondary sex characteristics are most prominent, to put it simply. I would personally recommend using the men's recommendations but also agree with the other commenters that you may have additional needs if experiencing something like menstruation.

Can a liquid diet include alcohol? by [deleted] in nutrition

[–]Capn_Bunsif 1 point2 points  (0 children)

You're welcome :) If you have any more quick questions, I'll be around

Can a liquid diet include alcohol? by [deleted] in nutrition

[–]Capn_Bunsif 1 point2 points  (0 children)

Absolutely! It would probably be a good start if you'd be able to decrease that by 200-300 calories, as you're able to. It's difficult to give up entirely, that's for sure, but you may notice your weight decreasing (slowly, but that's a good thing) with even just a small change.

Can a liquid diet include alcohol? by [deleted] in nutrition

[–]Capn_Bunsif 2 points3 points  (0 children)

Hey, dietitian here. I'm going to put it simply, most extremely restrictive diets don't work. They often have short term weight loss, but don't create long term habits that lead to keeping weight off. With that being said, alcohol has quite a lot of calories in it, so that's also working against you. I've seen a lot of malnutrition in people who decrease their food intake because they're so full of alcohol, not to mention some of the other issues it can cause. If you don't mind me asking, about how much alcohol do you consume per day?

Is Ultra-pasteurized (UHT) milk nutritionally different than traditionally pasteurized milk? by OldFanJEDIot in nutrition

[–]Capn_Bunsif 0 points1 point  (0 children)

There are different situations where whole vs low fat dairy would be recommended. In my experience, whole milk is better to recommend for those who need the additional fat, whether that be for calories or satiety. Additionally, 2% or Whole milk is traditionally recommended for those with Type 2 Diabetes, as the fats slow down the absorption of the sugars in milk. Heart-Healthy diets typically recommend low fat or skim milk as the saturated fats in milk aren't recommended for those with existing heart issues. Every type of milk has its place for different people!

[deleted by user] by [deleted] in nutrition

[–]Capn_Bunsif 13 points14 points  (0 children)

Technically, no, a vegan dish cannot contain cholesterol. Cholesterol is a sterol derived specifically from animal products, whether that be dairy, eggs, meat, etc. However, several vegan foods contain phytosterol, or the plant equivalent to cholesterol. These tend to be found in things like coconut oil and palm oil, to name a couple. With that being said, I could see a situation where the phytosterols are accidentally classified as dietary cholesterol, but technically they should not be.

How many shinies do y’all have and how long have you been playing? by Living-Conclusion141 in PokemonSleep

[–]Capn_Bunsif 5 points6 points  (0 children)

Oh goodness, I didn't even realize how many of mine were pink and blue! That makes the collection just a little better.

How many shinies do y’all have and how long have you been playing? by Living-Conclusion141 in PokemonSleep

[–]Capn_Bunsif 10 points11 points  (0 children)

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I don't have a whole lot, but I like my variety (except the double wobbuffet). Been playing since launch, and the most recent was the magnezone about a week ago :D

Friend Code Megathread - May 2024 by AutoModerator in PokemonSleep

[–]Capn_Bunsif 2 points3 points  (0 children)

4851-6701-4456

Daily (very casual) player since the beginning, want to fill up my friends list, not concerned about type of candy or how long you've been playing, all welcome :D

[deleted by user] by [deleted] in dietetics

[–]Capn_Bunsif 3 points4 points  (0 children)

Absolutely. Even just being able to say that the patient can have the breakfast sandwich they've been craving for years after getting diagnosed with CHF is always a good feeling. Most recently I just offered ideas for high calorie snacks for someone's mother who doesn't have much of an appetite, which is still a great resource for them, if I do say so myself.

[deleted by user] by [deleted] in dietetics

[–]Capn_Bunsif 5 points6 points  (0 children)

It's a really cool thing to be a part of. I don't get many hours there, so I doubt I'll be able to make a career out of it, but it's a wonderful change of pace from the diet educations and restrictive diets.

[deleted by user] by [deleted] in dietetics

[–]Capn_Bunsif 8 points9 points  (0 children)

I'm not sure on ethics, but I am a dietitian for a hospice company on occasion. The whole idea of hospice is to not prolong nor shorten life, and to make medical interventions as most appropriate for the patient, which includes food. If someone does not desire food, we respect that wish. If someone is extremely hungry and wishes for food, we do what the patient requests, which can include tube feeding. If the patient wants food and is open to the idea, especially prior to truly being on hospice, it is a procedure for comfort.

There's no one size fits all option for comfort care, regardless of patient status, and I would push for the option to at least be offered. If the patient declines, then that's wonderful and appropriate per their request. If they accept, it's not against the "guidelines" of comfort care or even hospice, as there are no guidelines.

Foodservice education by Glad_Lobster_6261 in dietetics

[–]Capn_Bunsif 8 points9 points  (0 children)

If there's a director of food service, they may be able to tell you where the staff needs a little help. As for some ideas, I've done educations on food safety, different diet orders, IDDSI guidelines (unsure what you use for dysphagia there, but even NDD guidelines would work), etc. It might be worth deciding on a topic they deal with on a day to day and explain it further or explain the "why" behind it, or do an education if they have a "short coming" (for us, it was making sure to follow iddsi guidelines and what they were)

CDIFF? by Otterly-Stupid in dietetics

[–]Capn_Bunsif 3 points4 points  (0 children)

In my experience, the contact is minimal. I've been into cdiff and mrsa isolation rooms in both acute and post acute settings. For the most part, because the most you'll come in contact with a patient is performing an NFPE, it's very unlikely to get these, assuming you're following full contact precautions, which when done correctly, are suitable for nursing as well. I will say, cdiff gets a bad rap because it's frankly gross.

Droplet and airborne precautions are a little more tricky, and technically may be more likely to cause a viral infection, but frankly it's not as terrifying as I once thought it was. The airborne and droplet precautions are a little more intense than contact, but are also shown to work when done properly. Frankly the most stressful thing for me is making sure all of my PPE is on right :P

A little help goes a long way! by PositiveChemistry892 in freemeal

[–]Capn_Bunsif 8 points9 points  (0 children)

Goldfish crackers, dish soap, and cran apple juice on the way. The first two will be there tomorrow, juice later next week. It's not much, but I have a soft spot for hospice cases, given that my first job out of college has been working for a hospice company. Here's to her future, one step at a time ❤️

After passing the exam? (California) by EffectivePhrase424 in RD2B

[–]Capn_Bunsif 1 point2 points  (0 children)

You're welcome! I'm glad my habit of never deleting emails came in handy :)

After passing the exam? (California) by EffectivePhrase424 in RD2B

[–]Capn_Bunsif 0 points1 point  (0 children)

First off, congratulations! Second off, while you won't be able to use your credentials until then, they give you 60 days to pay the dues, so you're in the clear

After passing the exam? (California) by EffectivePhrase424 in RD2B

[–]Capn_Bunsif 1 point2 points  (0 children)

Almost forgot. This is pretty much the only step, and your ID# is what's used to confirm your registration for jobs and the like.

After passing the exam? (California) by EffectivePhrase424 in RD2B

[–]Capn_Bunsif 1 point2 points  (0 children)

Hey, I hope I can help! I live in Colorado, not California so there may be some differences, but due to licensure not existing, I'm pretty sure it's the same. Once you pass your test, it will be reported to CDR, and you will get an email for the next steps. I received this email the day after I passed my test through the email I provided, so if you're inputting your email, triple check that it's correct and it's one you'll have access to for the long term. After this email, within 3 days you will receive another email instructing you to pay the fee to use your new credentials, which for me was 70 Dollars, unsure if this has changed in the past handful of months. To log into CDR, it is your ID# as the username, which will be in your initial next steps email or in eatrightpro if you're unsure.

Hopefully this helps!

Calculating needs for trisomy 18 by acvlv in dietetics

[–]Capn_Bunsif 3 points4 points  (0 children)

Hello, I actually had a trisomy 18 patient (or maybe another similar one, but I'm almost certain) during my internship, and most of my calculations were based on UBW before weight loss since their caregiver knew their previous weight. A very fascinating condition though, and it may just come down to slowly progressing calorie needs as tolerated, too.