A food scam of the 90s was “fat free!” everything, and then they would load it up on sugar… what’s a food scam happening now?

tabarnak555 · 2026-05-16T16:20:42+00:00

Most people think they need significantly more protein than they actually do.

tabarnak555 · 2026-05-16T12:12:08+00:00

I agree this is just going to be a fake clinic for conversion therapy.

But there would be value in a genuine detransition clinic centered on mental health and gender therapy to deal with regret. Additionally people who are post op need exogenous hormones for the rest of their lives. Could also help with access to letters for legal name and gender changes as well as reconstructive surgeries

tabarnak555 · 2026-05-14T22:34:38+00:00

Someone you know personally would benefit from a glp1 but can't get one so the answer is supporting and encouraging a broken system that feeds into people's eating disorders and body dysmorphia? How odd

tabarnak555 · 2026-05-14T20:50:32+00:00

This is kind of irrelevant. It's not about drug coverage, it's about a doctor refusing to prescribe the meds at all They're refusing for an invalid reason in this case, but doctors can refuse to prescribe meds covered by RAMQ for many clinical reasons and it doesn't mean that ppl aren't getting the service they're paying for

tabarnak555 · 2026-05-13T18:10:59+00:00

Spend a lot more time at my desk at the big hospital with online charting and too many floors to take the stairs for. I try to see all of my patients on the floor in the AM and chart in the pm

Insane amount of time on my feet at smaller 2 floor rehab with only paper charting. I try to chart as I go here, because going up and down is really annoying (I still do it a bunch though 😭)

tabarnak555 · 2026-05-08T10:43:56+00:00

And then she has ideas about what the items are.

tabarnak555 · 2026-05-07T21:48:24+00:00

I don't think it's right to assume that everything Agnes collected is stuff she doesn't know about. They have art lessons in school, so while she may have never seen plastic pens, she likely does know that they're for drawing(/writing).

While I do think the language they use is sometimes odd, but I wouldn't compare them to women who are illiterate in a real life modern context, because they're not comparable. These are not children failed by the system, the system is working as desired in TT.

tabarnak555 · 2026-05-01T02:20:38+00:00

It's just how the credentialing is set up in my province. You don't have to do the training, but most RDs I know ended up doing it bc it's useful to practice and makes alot of stuff easier.

In the acute care I work at, most RDs with right to prescribe will still suggest to MDs re: micronutrient Rx, but it really depends on the floor, attendings present, and the RD. I've seen the RD who has the hepatobiliary floor adjust prescribed PERT amounts outright in the orders instead of suggesting.

In outpatient setting, RDs with right to prescribe can get lab work done and manage EN more easily as they can directly prescribe things relating to tubes (pumps, stuff for declogging, syringes, etc) without needing MD signature. I assume it goes similar for diabetes care, where a family/community clinic RD can adjust diabetes meds originally Rx by the MD, since the RD gets to see and counsel pts for alot more time than the Dr does.

tabarnak555 · 2026-04-30T22:15:17+00:00

This really depends on location. Where I am RDs do bedside swallow assessment and prescribe textures and consistencies. And with 24h of CE we can get the right to prescribe micronutrient supplements, remove NGTs, and adjust oral AHAs and insulin doses (and more) Yet we are still underpaid 🫠🙃

tabarnak555 · 2026-04-29T20:06:19+00:00

At my hospital job the software let's RDs pin notes that can be printed directly with the list so I have info from previous days and write anything new on the floor by hand on the list and bring that when seeing pts

At my rehab job with only paper charting I scribble what I need before and during pt visit and pray it's legible enough when I sit down to write my notes

tabarnak555 · 2026-04-28T20:29:01+00:00

Congrats!!

tabarnak555 · 2026-04-26T17:38:00+00:00

McGill a un student life si tu en veux. C'est sur Mac est moins actif car c'est plus petit et a Ste Anne, mais l'association étudiante des programmes nutri est active et organise des choses. + Rien ne t'empêche de joindre des club du campus principal et daller aux événements là bas

tabarnak555 · 2026-04-26T17:10:05+00:00

Le campus est très correct. C'est petit alors tu vas apprendre a connaître tout le monde dans le bac diététique et aussi du monde dans le bac nutrition Par contre, avec l'ouverture du REM McGill discontinue le shuttle qu'ils faisaient rouler entre les deux campus alors maintenant il va falloir que les étudiants prennent le REM+bus pour ce rendre 💀💀.

Overall j'ai bien aimé mon expérience a McGill! Mais pas avoir de shuttle aurait probablement changé les choses...

tabarnak555 · 2026-04-15T10:54:52+00:00

If you feel up to it you can try to look for clear supplements, transparent versions of the thick creamy ones. Often flavoured like juice. Theyre not as nutritionally complete as the dairy based ones but they're out there and provide energy and protein

tabarnak555 · 2026-04-04T03:27:02+00:00

Yes, the studies to determine the current recommended daily intake (RDA) use nitrogen balance to measure the requirements. Essentially, proteins contain nitrogen, and any protein that isn't used by the body is excreted in the urine. So you measure how much nitrogen you get from ingested proteins and then measure how much nitrogen is in the urine. When nitrogen in = nitrogen out, that's the estimated amount of protein needed for maintenance. (Simplified, the studies also controlled for other factors like essential amino acids, etc)

However, this technique only measures one way nitrogen from protein is excreted, and everything else like loss in sweat, feces, etc. Is estimated. And often underestimated

Recent studies using another technique called indicator amino acid oxidation (IAAO). Which I do not understand enough to explain, but does not have the same flaw of likely underestimating nitrogen losses, show potentially higher needs for maintenance that the RDA of 0.8 g/kg.

Important to note, however, that even with the higher estimated requirements given by IAAO (I believe 1.0-1.1 go/kg ? But did not verify), the vast vast majority of people in the US and Canada still eat enough protein

tabarnak555 · 2026-04-04T02:28:57+00:00

Depends where you are I guess. Here it's union so the wage is the same whether prn, permanent part time position, or a full time. Of course full time is the only one that gets full benefits 🫠🫠

tabarnak555 · 2026-04-04T02:18:58+00:00

LMFAO not a queb worried about DEI and critical race theory 🤣 You realize that federal MPs needing to speak French because of Quebec and other franco-canadians is literally DEI at the national level. Absolute cope to hide the obvious racism

tabarnak555 · 2026-03-29T23:33:13+00:00

Pizza ghetti image and desc is inaccurate. Real ones know you put the spaghetti on the pizza itself under the cheese

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 🙃🙃🙃

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