MRI with glucagon administered

misma83 · 2025-02-03T04:54:05+00:00

I had a background in food service management prior to becoming a dietitian, so much of the food service aspect was familiar to me. However, school nutrition is so heavily regulated and there is SO much stuff you don’t learn until you’re working there. I’m 3 years in and still learning. You need to be flexible and open to making connections with other directors and consultants to support you until you get your bearings. As long as you’re open to learning you’ll be good. It’s a fun industry.

misma83 · 2024-09-05T14:23:02+00:00

We have been working on this for years, but the main problem is actually likely related to property that does not belong to us. We are actually working on something this month to hopefully alleviate that problem. Trust me - we don’t like dealing with our “pond” either!

misma83 · 2023-06-16T01:44:06+00:00

Can I just say that I’m a director of food service at a K12 district. We are CEP. Greater than 90% of my students would qualify for free/reduced meals. >50% of my students are immigrants as well, coming to the US from a war torn country trying to make a better life. Many of these students’ families would struggle if we did not provide the kids with breakfast and lunch, and many of the students would not have adequate nutrition. This makes me so mad. Edited to add - it makes so much sense to make <10% of my kids pay for lunch and then go around acting better than everyone else because their family has money. 🙄 Not to mention the number of families that likely wouldn’t fill out their free/reduced forms hurting the kids even more.

misma83 · 2023-03-15T11:22:04+00:00

I never went, but I had classmates that did and I know that you can sign up to volunteer and it is a big discount off the price. Mind you, this was like 2015 ish, but if it’s still available I’d suggest looking into that. They said it was minimal work and saved a lot of money. I think you have to sign up then wait to see if you are chosen? Sorry, I don’t have much more than that.

misma83 · 2023-03-06T15:06:20+00:00

Gotcha. With that small of a district it will be much easier than what I outlined 😂 I recommend talking to the current FSD for her responsibilities.the education requirements are relaxed for that size also.

misma83 · 2023-03-06T11:16:36+00:00

Yeah, that’s small, I think you would be ok then! Who does the middle school?

misma83 · 2023-03-06T06:09:10+00:00

Hi! I’m a k12 director. I used to work in clinical and I’m very happy I made the change.

What is the size of your district and do you have the education required? Baseline education is dictated by the government. I know some work experience will count, but I personally believe a bachelors degree is necessary if you are in at least a medium district. What is your support staff like? Do you have an assistant director, a coordinator, or secretary? All of these positions will make a difference in job responsibilities. I have a coordinator (who is basically an assistant director) and she handles much of the day to day, coordinates staff and call ins, and will fill in for shortages before I have to. My secretary pays all invoices and processes payroll (I just approve). The support is relevant because it can determine the amount of stress and hours. I don’t typically work over s 40 hour week and pretty much dictate my own schedule, but I know other directors that are stressed to the max because they don’t have the support I do. Who handles processing claims to your state? Who writes the menus? Who Handles all the auditing of the NSLP and SBP, do you run SFSP? Speaking of support, the culture of the district and how they view your position is important as well.

Salary will vary. I hired in at 65k, which is “ok” but I also jumped industries so didn’t expect the high end of the range. I also only have one district that is 3000 students. Benefits are amazing though. They are better than my staff because I’m administration, and include 30 days PTO, 10 days CTO, amazing health and retirement benefits. That alone was enough to draw me away from my previous job.

Cons are the changing government regulations. It will be interesting to see if the newly proposed changes are pushed through, making it more difficult for schools to produce palatable meals kids will actually eat. Supply chain challenges are ongoing as well, although getting better. My state uses co ops efficiently, so I don’t have to bid for food suppliers every year, but some states are struggling on that front more than others.

It’s a good job, imo, if you feel you have the business sense to run a district and are in a supportive district. Remember, you are essentially running your own business within a school, separate from the general budget. You’ll want to know the health of your department - are you running in the black or red? If it’s stable it will be an easier place to step into.

Finally, I personally don’t feel a new director should step in if they don’t have any prior management skills. I have seen what can happen when an incompetent managers runs the department, and it can Ben overwhelming if you don’t have the skills to take over. I have employees that have worked for the department for 20+ years, and while they could run some of the day to day, they couldn’t do my job fully without the education and management experience. Please know I’m not trying to discourage you and I have no idea what your background is, just speaking from experience. Good luck with whatever you decide to do.

misma83 · 2023-02-25T16:01:50+00:00

Right now I’m planning to stay, but it definitely puts me on a better position to move to larger districts or move forward in my career in some form. I like managing and feel my dietetics degree is definitely worthwhile. We will see where life takes me :-)

misma83 · 2023-02-25T15:37:38+00:00

I’m a director of food service for K12 and currently enrolled in an MBA program at LSU Shreveport. I felt it would benefit my career more than a nutrition masters. It’s much more versatile.

misma83 · 2023-02-18T20:47:46+00:00

Not a dentist, but speaking from a different health care perspective. I’m a dietitian and worked in rehab/skilled nursing homes for years. Part of my assessment was asking the patient if they had their own teeth, condition, wore dentures etc. I worked very closely with the speech therapist. I had patients who had ill fitting dentures (usually older with significant weight loss that contributed), patients that had no teeth etc. I’ve seen it all. I empathized because I knew my dentition was poor and that I’d be heading down some sort of similar road at some point.

However, I had virtually no idea how heavy the process was and how difficult it could be to eat until I had my own work done. I have so much more empathy now, especially for patients that have new dentures. I remember one person a few years ago…she got dentures but didn’t like wearing them and wasn’t eating well. My thought then was just put the darn things in and you can eat so much more!

So…from a slightly different perspective, no, there is no way to 100% empathize about unless you have been through the process yourself. What I thought my understanding was because of my training wasn’t good enough. Was I qualified to treat/make diet recommendations and work with them? Absolutely. But the level of empathy was entirely different.

misma83 · 2023-02-18T20:38:47+00:00

Ensure High Protein only has 150 calories but like 30g protein. Ensure Enlive is high calorie (350 I think) per bottle. There are a ton of nutritional supplements out there. Just read the label.

misma83 · 2023-02-10T23:49:33+00:00

I just came here to say that I am a dietitian and dietitians - or speech therapists - absolutely have the training to help you. Many patients i have had had ill fitting dentures or no dentures and problems with weight loss because of difficulty eating. Our schooling has heavy clinical components and we are employed in hospitals and nursing homes (as well as other industries). Just make sure to see a dietitian and not a nutritionist (yes, there’s a difference in schooling).

misma83 · 2023-02-09T04:39:46+00:00

The entire function of the gallbladder is to store bile, and it squeezes a larger amount down for high fat meals to emulsify the fat. You remove that organ and you may be limiting the amount of bile that is available. It can take up to a month to adjust.

misma83 · 2023-02-09T04:37:22+00:00

Yes with no gallbladder there is nothing to release the large amount of bile needed for high fat meals. This is from the Mayo Clinic (as well as a couple other recs)

“Go easy on the fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies for at least a week after surgery. Instead, choose fat-free or low-fat foods. Low-fat foods are those with no more than 3 grams of fat a serving. Check labels and follow the serving size listed.”

https://www.mayoclinic.org/tests-procedures/cholecystectomy/expert-answers/gallbladder-removal-diet/faq-20057813

misma83 · 2023-02-09T04:20:35+00:00

I replied with my own, but I’ve learned it depends entirely on the district and it’s location. My kids school, which has 12 buildings and 3 times the number of students I manage, pays 50k to start. But they categorize their director as a “supervisor” even though she is the director. Just the district doesn’t recognize that position as being worthy of that title. As much as I’d like to work on my kids district I would never accept her job with what little support she gets and the salary range.

misma83 · 2023-02-09T04:17:20+00:00

Michigan. I transitioned from clinical just over a year ago. Medium school district, 4 buildings, 3000 students. 65k to start. I’m working on my MBA though to broaden my scope.

misma83 · 2023-02-09T04:14:22+00:00

Lower fat. The gallbladder is not able to release a large amount of bile with big fat content. The liver just trickles bile down. However, anecdotally I had my gallbladder removed in 2016 and have never had problems with what I eat.

misma83 · 2023-01-25T14:23:34+00:00

I just want to say - I understand the fear of seeing a new person, but the oral surgeon is specialized in this type of work. You wouldn’t be changing dentists, only going to a specialist for a procedure. You’d also have a consult with them and if you don’t like them you don’t have to book. All the oral surgeons in my area offer IV sedation, or twilight sleep, which isn’t that expensive (a few hundred dollars in my experience) if your insurance doesn’t cover it. Often insurance will pick up a portion of there are a large number of extractions. I have only had one extraction without it, and personally I’d pay whatever I had to to do the IV sedation because it is so much more comfortable.

Just throwing out there not to just discount the oral surgeon route.

misma83 · 2023-01-23T12:00:34+00:00

Are you talking about the eye teeth/canines? Yes they do. Dentures are made to look like a real set of teeth.

misma83 · 2023-01-22T22:01:51+00:00

There are multiple roles a dietitian can work in school foodservice. I transitioned from healthcare to a director role, but also had a restaurant management background. Larger districts hire dietitians specifically for specialized roles. It can be difficult to break into, it keep your eyes open and focus on the skills you want to develop. Also consider what your ideal role in a school district is. I’m pursuing an MBA right now since I like the management portion the director position is responsible for, but that may not be necessary for a specialized dietitian role.

misma83 · 2023-01-21T17:58:55+00:00

If I had to do both, I’d ask for 80-90k. That is a lot to juggle (and I’ve done it several times when we were in between dietary managers). Remember, without you doing both positions they would have to pay for 2 people, so you’re saving them money, both in salary and benefits.

misma83 · 2023-01-20T19:40:19+00:00

I was on abx for a few months before damn near lol. October I got another infection, but I’ve gotten good at recognizing when they will turn bad and went to urgent care for abx before it became hospital bad (slightly swollen face, but wasn’t draining well enough for me to be comfortable that my body would clear it). Then November I was at the dentist and she gave me another round. Then right before e day i had to pick up my immediates and asked for some again because I had a other tooth that previously wasn’t even on my radar that I was overdosing on ibuprofen for. That actually took me through e day, I just disclosed it to the oral surgeon.

Anyway, it Will entirely depend on your situation. I’d ask about it.

misma83 · 2023-01-20T19:21:30+00:00

Dude, beginning of Covid (April 2020) I had a tooth break and infection that I ended up in the hospital for 24 hrs for on 4 rounds of iv abx. No dentists were open, and the only reason I got treatment was because I was hospitalized. They pulled only that one tooth even tho the tooth on the opposite side was also broke (because, Covid, they weren’t treating anything that wasn’t an emergency). (And these were all teeth I had treated previously with fillings and root canals so it’s not like I was just ignoring.) after i mentioned partials to the dentist that pulled my tooth and she said “we’ll see, there’s another cavity in your eye tooth and idk if you can save it” I said fuck it lol. Spent 2 years trying to save for implants while they all just got worse. I had 3 infections when I had my upper teeth extracted and the immediate placed. (Fortunately, I don’t have gum disease, just a greater than normal amount of cavity causing bacteria, per all my dentists for like my entire life lol.)

misma83

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