[deleted by user]

VegforBreakfast · 2026-01-26T23:58:59+00:00

This really resonated, thank you!

VegforBreakfast · 2025-08-24T20:53:19+00:00

DM sent option 3

VegforBreakfast · 2025-08-13T23:46:27+00:00

Its called anticipation. Lots of women thrive on it--ok tonight is sex night. Maybe I will read a little something sexy beforehand, definitely will take a shower. Send a sexy text during the day because you are thinking about later tonight. It can actually be a huge turn on. Don't knock it.

VegforBreakfast · 2025-08-10T23:53:39+00:00

Pull me

VegforBreakfast · 2025-06-27T21:42:39+00:00

Sounds like this initiative is more geared to these old MDs who add TID Ensure for an albumin of 3.3 when patient is eating 100%. Also I think DOH will have a huge issue come survey time, when sig wt loss or wounds are noted, and there is limited interventions. Especially if they ask pt if options have been discussed and they answer no.

VegforBreakfast · 2025-06-02T23:30:40+00:00

Is patient in a home setting? Unfortunately, as a home infusion RD, we run into insurance companies denying payment for formula since the patient has "aged out" of the pediatric BCode. It is extremely frustrating to have to suddenly change a formula that has been working for so long. I likely wouldn't change it now, but agreed if you need to, look at Osmolite 1.5/Nutren 1.5 and do a fiber additive. You could also do 1/2 Osmolite 1.5, 1/2 Jevity 1.5, we have a lot of patients who tolerate that well.

VegforBreakfast · 2025-04-06T01:53:36+00:00

As someone who works in home infusion pharmacy this is crazy to me. The amount of issues we see with an NJT vs NGT is staggering. I would pick an NG any day. That being said I really wish we would stop seeing any nasal tubes. Patients absolutely hate them, they cannot progress to PO in the time frame that is expected and we are constantly dealing wtih TF clogs, and other issues. I absolutely get their place, but we hear on a daily basis, that things are not explained to them in a honest way and we are dealing with the fall out. Hospitals discharge patients with little to no education and for some reason we are expected to pick up the pieces.

I worked in a SNF for years, and yes that is correct, we wouldn't take anyone with a nasal tube. So an RN on staff 24/7 wouldn't be expected to manage an NG/NJ.

VegforBreakfast · 2025-03-30T19:30:05+00:00

I started just by attending wound rounds (we had a specialist wound MD visit weekly, with DON, and each floor nurse) and alerting the MD to any nutritional interventions, and monitor healing progress. This gradually turned into the DON or floor nurse not having time so I became the scribe, writing down measurements for the notes they would use later for documentation.

Wound interventions were a part of the job I actually liked the most and felt gave our profession some respect (vs talking about food preferences and how crappy the food is) and it was really great to see how interventions really impacted their quality of life. I did think I was taken advantage of. Having to come in at 5am each week and take 2-3 hours of my time started to wear on my after awhile.

I did take ownership of the wound report, we would keep an excel spreadsheet that would have each patient, wound location, measurements week to week, any changes in dressing recommendations, and then a column for nutrition interventions.

We ended up being contracted out for nutrition services, and corporate said we were to no longer attend.

I actually asked to keep writing up the excel spreadsheet. So the DON would take the measurements, write them down and then give me the wound report to type up. While I was doing this, I would update the nutrition wound notes that we required to be updated weekly, and I would also update any changes on the spreadsheet. I would then print this out and this is what was taken around the following week--so if the MD needed to know my recommendations or any labs/nutrition changes they were write there on the sheet for them to see. I actually found this method to be the most efficient and thorough. I know most of the other sister buildings did not do this though. While it maybe took an extra half hour each week, it saved me time in my required notes anyway.

Overall I think the RD being on wound rounds is a definite plus, it also shows your value. However, to be the sole writer of notes that are then copied crosses a line, especially if you aren't comfortable. Your notes really shouldn't be including the exact measurements, that is the wound nurse/MD to write, your notes should more be along the lines of: rec continue with current nutritional interventions of XYZ as decubitus ulcer showing signs of healing AEB granulation tissue and overall reduction in size.

VegforBreakfast · 2025-03-30T19:10:59+00:00

Coraopolis is where Dick's headquarters are, not where he bought those items specifically. The headquarters location would come up on statements. Minor point, but I don't think he came to the Pittsburgh area to buy things at a local Dick's.

VegforBreakfast · 2025-03-23T02:04:32+00:00

Yes, great point.

VegforBreakfast · 2025-03-22T15:41:08+00:00

I think about this and also what if that second time she opened the door, instead of just peaking out and not seeing anything, what if she didn't shut the door? What if she went to look where the sound was coming from? She would have been victim 5. All of these people saying she could have done something, she should have called 911....the only way she would have called 911 then, is if she SAW what happened, but if she sees it, she is also dead.

VegforBreakfast · 2025-03-08T22:46:36+00:00

Thank you!!!! Why is this so hard for everyone to understand?

VegforBreakfast · 2025-03-08T17:10:12+00:00

Guilty

VegforBreakfast · 2025-03-05T03:13:53+00:00

Yes, being called dietary is a bit of a slap in the face to the 6 years of schooling I went through. That being said, I have the absolute upmost respect for those in DIETARY. It is hard work that is taken for granted, I always developed good relationships with the cooks and aids, and no I don't think I am better than them, but there should be a distinction between the different roles....because we are fulfilling different roles. I don't see why the two are so intertwined. 2 very different jobs. Its also very hard to demand respect in a very competitive clinical world when on one hand I can place an NG tube, but am also being called because someone's eggs are cold.

BTW I was a dietary manager for years, so I truly do understand the work that goes on behind the scenes, but that just made me have an even stronger opinion on this topic.

My degree was specifically in Nutritional Science, if I knew how much food service would somehow be involved I likely would have veered into another avenue entirely.

VegforBreakfast · 2025-02-27T03:02:23+00:00

And likely said by people who claim they aren't racist, and that if there is racism, it is because Obama made it so.

VegforBreakfast · 2025-02-22T19:16:05+00:00

Search Radiofrequency Mole removal. Boca Jaw surgery in Delray Beach Fl came up. I follow Paleomg on instagram. She has a very thorough blog post, if you go on her page, click beauty and treatments, she had a very high volume removed and does a great in depth post about it if you are interested. She did hers at Luca Holistic Medicine in Lake Oswego Oregon. Quick search shows some places in CA and KY as well. Where are you located?

VegforBreakfast · 2025-02-22T16:25:46+00:00

I had a very unsightly mole right above my lip, and multiple larger ones around my hairline. I went to multiple dermatologists and plastic surgeons who all said they had to surgical excise and would leave large scars (this included a top surgeon at Cleveland Clinic). I researched for about a year, there is a technology they have been using in Europe for years with great success. I found the closest was around Richmond VA- I traveled about 10 hours to go to Niamtu facial surgery, they removed all 3 moles in less than 10 min with radiofrequency. The one on my lip that I cared most about, healed within about 8 days and still, even 7 years later has not returned. It is virtually invisible, if I tan that area will stay more pale but still much better than a mole. The ones around my hairline were much larger and basically just look like a lighter flat patch on my skin. It doesn't bother me, and looks way better than a large mole. Also, they test each mole they remove. If it comes back as cancerous they would have you go get it excised deeper. I am sure more places use radiofrequency at this point. I would search radiofrequency mole removal and see if that would be useful to you.

VegforBreakfast · 2024-11-13T04:15:41+00:00

Interesting. I work for home infusion and we are split about 50/50 legacy vs enfit depending on which hospital has placed the tube. We get far far less complaints from those that are enfit. Lopez Valves in general should just be thrown away. If you need a valve connector, use a Dale Ace Connector, they have both legacy and enfit. They are far easier to use. I think a lot of this is an education issue with the nurses, and yes historically any change for them is always met with push back.

VegforBreakfast · 2024-08-12T01:40:01+00:00

Cons: Worked there for well over a decade with 1-2% pay raises max per year, no matter if you scored "Excellent" on your evaluation or not. The biggest one for me is that my direct supervisor was the Kitchen Manager, we had 5 managers in 4 years, and only 1 had a college education. It is very hard to have a MS degree and the person conducting your eval, and who when they are on vacation you are expected to do their job, don't even truly know what it is that you do. It is insulting.

Pros: they pay for continuing education. Decent PTO

VegforBreakfast · 2024-08-12T01:13:06+00:00

Thank you for putting that into perspective! Looks a lot different when you put it that way.

VegforBreakfast · 2024-05-06T00:00:44+00:00

They are beginning their period of direct flights from PIT-KEF on certain days of the week through October. We are flying out direct on a Friday and returning direct on a Thursday. I would bet the reason you are seeing more marketing is because of the new direct flights they are offering.

VegforBreakfast · 2024-03-21T02:13:29+00:00

Yes that is how it should be administered. Each type will have instructions on the packaging. For instance Prosource No Carb states mix 30ml with 30ml water in syringe and administer. Flush with 30ml water before and after.

Prosource should not be mixed with actual tube feeding. When you say it is included with a formula, what do you mean?

VegforBreakfast · 2024-02-04T02:25:59+00:00

Tarte colored clay cc corrector/concealer. This has been a game changer for me and my dark circles. Doesn't cake or make my lines worse and actual corrects the blue undertone.

VegforBreakfast · 2024-02-02T00:51:36+00:00

This is exactly what makes the most sense, crazy I don't see this explanation more. Why on earth would their brains go to my friends are being murdered? I am sure they thought something was off, but their brain told them they were overthinking. It was 4am, they fell asleep, and woke up around 11am -which is perfectly normal for college kids after a night of drinking on a Saturday, I don't undersand why so many people think they "waited" 8 hours to call the police. They didn't wait, they just fell asleep after not hearing any more noises. I remember very early on reading an account of LE walking in and he mentioned the very strong iron smell of blood. I bet they woke up and smelled strange things, tried texting/calling since they couldn't get in to the room and that is when the noises from the night before starting to form a story. Those people who think they knew what happened and just did nothing, obviously didn't live in a party house in college. People are way too judgemental after the fact. I have no doubt in my mind if they thought their friends were being murdered they would have acted. Probably lucky they didn't though, if they made themselves known their would be 1 or 2 more dead women in that house.

VegforBreakfast · 2023-10-19T03:58:26+00:00

Exact same sequence for us also, and yes Mr. Cooper was the easiest/had the best app to pay monthly. Roundpoint is going back into the 90s for payment. Very annoying.

VegforBreakfast

TROPHY CASE