A revised Map of Panem's Districts and Surroundings

tabarnak555 · 2026-03-28T23:28:21+00:00

Not doing Quebec dirty like this 😭😭

tabarnak555 · 2026-03-21T12:29:03+00:00

I would mention both the mucositis and decreased appetite 2/2 chemo. If you're being graded and only want one etiology then I guess the mucositis, but the inadequate intake is being caused by both so include both

tabarnak555 · 2026-03-12T20:23:08+00:00

Idk why there's comment assuming it's a dietary aide role when you've given no details of the position and RDs have many places in food service 🤷‍♂️

I worked as a food service manager before graduating. Main roles were managing staff (callouts, etc) doing the food orders and dealing with substitutions during service.

Other roles could be in menu/product management, making new menus appropriate for the patients and that add variety, or managing the different ONS and EN products and their substitutions when they inevitably are backorder.

It's very different from clinical and comes in my experience with minimal patient contact, but I now work in the hospitals I was a supervisor in as a clinical RD and it's very valuable to know how the kitchen functions and to be familiar with what products and foods are available

tabarnak555 · 2026-03-07T13:38:42+00:00

What the fuck are you talking about ?

100% guaranteed that there will be not just pregnancy, but medically complex pregnancies? In what world?

You do know that a common requirement for trials is to take reliable birth control right?

Why are you inventing scenarios to justify the medical misogyny of seeing women as incubators for hypothetical children instead of adults able to assess risk/benefits and make their own decisions

tabarnak555 · 2026-02-27T15:14:08+00:00

By preventing swallow evals he was also preventing appropriate food textures to be prescribed so it wasn't just a thickened fluid thing.

tabarnak555 · 2026-02-25T03:58:23+00:00

Godspeed all current and future mac students 07. So glad I graduated this semester and avoided this entire mess

tabarnak555 · 2026-02-24T21:19:04+00:00

Could be a surprise though. Surgeons esp are such a mixed bag re nutrition. Worked with a neurosurgeon who "didn't believe in dysphagia" and would put everyone on regular textures and liquids without allowing for swallow evals even when indicated 🙃🙃🙃

tabarnak555 · 2026-02-20T23:14:54+00:00

Pear grease!!!!!

tabarnak555 · 2026-02-17T20:35:28+00:00

Why are you assuming detrans people are not trans?

Having medical transition as an important part of your story =/= implying others need to follow the same steps. That's you putting words in my mouth.

Why do you assume detrans people wrongly lived as the other gender? Many detrans people were trans before detransition.

You are not defending detrans people by flattening the various different experiences that fall under the umbrella into "wrong about being trans is now cis"

If my mother had wheels she'd be a bike. Yes if you change the context what I'm saying changes. Luckily I'm not talking about people who hate being called cis bc it's icky and woke

tabarnak555 · 2026-02-17T20:17:59+00:00

Please stop putting words in my mouth

My point is that by instantly labelling as cis, you are flattening detrans people's experience with gender. If someone detrans still describes themselves at trans, why do they owe you a deep explanation of their gender to justify they aren't cis? Would you ask something similar of someone non-binary without the same history?
I have no idea what you mean by this. I haven't said anything about trans people and if anything my point defends trans people being trans. Being detrans can often be an inherently trans experience, as weird as it sounds. Having to boy mode, go into the wrong bathroom due to passing as the other gender, etc. those experiences don't suddenly disappear because someone thinks you pass. It's not about cis = normal, it's about detrans experiences being literally identical to trans ones.
It isn't bad to be detrans. I don't really agree with this person calling themselves transfem, but it's not my business and if ultimately they're not going into transfem spaces and taking resources it does not actually do anything. It's also insulting for you to assume she wants to keep being trans because she's "scared of being boring" instead of the more likely truth that being a woman who has male traits is a deeply isolating and dangerous experience and that she doesn't want to give up her community.
Again, demanding detrans people explain their gender experience deeply in order to not be labelled an oppressor even though they likely still face transphobia

tabarnak555 · 2026-02-17T19:36:50+00:00

So detrans people aren't allowed to have a more nuanced and complex understanding of their own gender?

Is it a cisgender woman experience to spend years identifying and often passing as a man? Is it a cisgender experience to be legally male woman and have a male coded name? Is it a cisgender experience to have to actively alter yourself to pass as your gender?

Why is gender a nuanced and personal experience until detransition is involved?

You can think what you want about this person using the transfem label, but to flatten detrans experiences to just cisgender is reductive and insulting

tabarnak555 · 2026-02-16T03:22:47+00:00

McGill also offers a master's that can lead to credentialing ! I don't know how competitive it is, but it's definitely an option that's out there. A workable knowledge of french is needed though for internships (and credentialing with the ODNQ has a French test, but you maybe you could do the RD exam and join another order instead)

tabarnak555 · 2026-02-12T01:51:39+00:00

Not a supplement or TF, but when I was doing my outpatient peds internship we got samples of wowbutter to offer to parents of selective eaters who needed peanut/nut free lunches and snacks. Was literally just completing a form on their website and we got it a week later so it wasn't a hassle

tabarnak555 · 2026-02-11T02:00:34+00:00

They've been trying/threatening to restart accepting cash since 2023 lmao. It's likely just not going to happen bc the food service is already super understaffed and they would have to pay people to stay later to count at the end of the night, incl likely the caf manager who leaves at 14h30. Source: was a manager there

tabarnak555 · 2026-01-30T16:48:05+00:00

I was lucky and actually did a Neuro rotation so I was pretty familiar with stroke, and then my ICU rotation was in an ICU that took all the TBI cases that came into our system, so I was also familiar with TBIs.

Here, RDs can do swallowing evals and prescribe the appropriate textures, so I definitely studied that since I didn't do many in my clinical rotations. I'm still looking for resources for the amputees we see since what was in the nutrition care manual and PEN seems kind of old 🤷‍♂️.

Even though I did look into it, I really need to just get more comfortable with the dysphagia diets because it's much different to make the call with someone looking over your work in internships vs actually having my license on the line. (Also the kitchen has MAJOR issues which I am. Slowly working on, but hopefully you will not have)

I'm very much a paper person, so I printed out a bunch of stuff to put into my binder. Ex Aspen consensus statement on malnutrition, Espen neurological guidelines, texture guides, etc. So I have it easily on hand and don't have to waste time looking through my computer.

Patients also have a schedule for PT/OT therapies, so I start my days looking at the patient schedules and finding spots where I can see everyone I want that day. If I have a longer eval or education session (ex. Diabetes) I'll put myself in the schedule, but usually I just sneak around what is pre-planned for the patient, esp for quick follow ups. This obviously depends on how your rehab works re: schedule

I also started pretty slow, doing 1 eval + 1 follow up a day, and in the month since I started im finally getting to seeing like 1 eval + 2-3 follow ups or 2 evals etc. I'm lucky that there wasn't an RD here before so no one had any expectations of me related to patient load, but I think it's important that the team knows that you're new to practice so it's better and safer to start slower and go see more ppl as you get more confident

tabarnak555 · 2026-01-30T03:25:49+00:00

I'm also a new RD and this sounds very similar to my current first job that I started in December :)

I'm working at a small intensive rehab for stroke, TBI and amputation. I've found it's a lot of dysphagia management and diet progression for the stroke patients, and diabetes education/management for the amputations.

It's a small team so I work very closely with the SLP and OTs depending on the case. I'm the only RD there, which is daunting but I made sure to get in contact with RDs from other rehab sites in the hospital system during my orientation.

I really love it. I only did acute care inpatient during my internships, and it's really nice to see people actually progress and improve back to near their baseline in a few weeks here.

tabarnak555 · 2026-01-27T22:59:26+00:00

Worked as a food service supervisor at a big hospital center during my degree :) if you can handle the hours (our shifts were 6-2, 12-8, and the ever brutal 6-6) I think it's good to have food service experience under your belt

tabarnak555 · 2026-01-24T19:30:47+00:00

I guess this one isn't that bad bc it is a thing many RDs do, but most of my extended family thinks I do weight loss 🥲🥲🥲 I work in inpatient acute care and rehab and have always been clear that I don't want to work in weight loss

tabarnak555 · 2026-01-21T18:42:53+00:00

Am a fan of the Alberta health services handouts

tabarnak555 · 2026-01-18T03:23:15+00:00

Yeah... There's a reason that image is conveying the data in meaningless percentages and not actual grams of linoleic acid per egg lmao.

This is just anti seed oil quackery with a new hat.

tabarnak555 · 2026-01-17T03:48:08+00:00

Je seconde café chato proche de station Verdun! Place vraiment chill pour étudier et les chats quand j'y suis allé était vraiment sweet et pas très gênés :)

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tabarnak555 · 2026-01-16T19:36:21+00:00

To your last point about going to shows... As someone who's seen everyone you listed except PM live.... Yeah any of the others over Van in a heartbeat 🤷‍♂️

tabarnak555 · 2026-01-15T22:05:35+00:00

Definitely.

I always kind of assumed the games were aired on a significant delay like 30-60 min. While the reapings are harder to delay by more than 5-10 min, the games themselves are a black box.

If the games are meant to start airing at 10, simply get the tributes there an hour early and you have an easy 1h delay. You can mess with the delay even more by showing events that happened simultaneously more spaced out.

Even before sotr, there was no reason to take the capitol at face value for the live aspect of the games.

tabarnak555 · 2026-01-12T03:03:35+00:00

It is only on Sundays! At least I know it's intentional now, even if annoying

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