Re: Full Liquid Diet? Evidence based?

June 16, 2011

I just wonder how would it be best for a diet manual? What would we call it

and how if you were given a chance modify it? I have different sites and

since they aren't hospitals I need a better definition as I start to review

the new sites and their diet manuals (or lack of). Usually it is pureed and

I love my speech pathologists who are quick to forward the diets if

tolerated.

> ,

> Liquid consistency would be a texture modification for any nutrition

> therapy the same as pureed or ground. It should not be limited to what in

> the past was used as a " liquid diet " with foods that were liquid at 98.6

> degrees Fahrenheit including frozen ice cream and used as a progressive diet

> from clear liquid to soft diet. Any texture modifications should be

> considered when prescribing a nutrition therapy for a patient.

>

> For instance, I have prescribed a liquid diet for people with a wired jaw

> due to trauma which is actually more of a thin pureed texture modification

> where food can be drank through a straw placed between cheek and gums unless

> a straw is contraindicated by the attending physician. The goal is to

> prevent weight loss during the 6 weeks a person's jaw is wired. They are

> usually provided with wire cutters in case they choke on anything or vomit

> to prevent aspiration. Also prescribed liquid diet for a person with a

> tongue resection due to oral cancer after surgery.

>

> healthy regards,

> Joanne Larsen MS RD LD

>

> So you would be for it being not a progression but a stand by itself diet

> or not at all?

>

> On Thu, Jun 16, 2011 at 4:17 PM, Joanne Larsen wrote:

>

>> , et al,

>> My comment below was to clarify the lack of evidence for a full liquid

>> diet as a progressive diet from clear to soft to regular.

>>

>> If a patient cannot tolerate solid food, it should be the recommendation

>> of the dietitian to order the appropriate consistency using real food first,

>> then liquid supplements whether that be liquid, pureed or ground.

>>

>> If we are to disagree, disagree with a position, not attack the person

>> please.

>>

>> IMHO

>>

>> healthy regards,

>> Joanne Larsen MS RD LD

>>

>>> Joanne and others: What would you have instead??

>>>

>>> On Thu, Jun 16, 2011 at 3:25 PM, Merav Levi wrote:

>>>

>>> This conversation reached a new low.Ciao

>>>>

>>>> Merav Levi, RD, MS, CDNA dietitian, not the food police.

>>>> http://www.linkedin.com/in/meravlevi

>>>>

>>>> " Life is not measured by the number of breath you take, but by the

>>>> moments

>>>> that take your breath away. " - Carlin " People don't forget the

>>>> truth,

>>>> they just become better in lying " (Revolutionary Road)

>>>>

>>>> To: rd-usa

>>>> CC: hlbrewer@...

>>>> From: joanne@...

>>>> Date: Thu, 16 Jun 2011 09:26:55 -0600

>>>> Subject: Re: Full Liquid Diet? Evidence based?

>>>>

>>>> Colleagues,

>>>>

>>>> Reply to RD-USA listserv only. You do not have my permission to forward.

>>>>

>>>> As the editor who created the Nutrition Care Manual, vetted the authors

>>>>

>>>> / reviewers and edited every word for the initial launch and the first

>>>>

>>>> update, I can tell you why the Full Liquid diet is in NCM. Dietitians

>>>>

>>>> who ordered NCM complained to the publisher that their facility's

>>>>

>>>> doctors wanted a full liquid diet so the publisher insisted the full

>>>>

>>>> liquid diet be added to NCM over my objections and documentation that

>>>>

>>>> there is no science in published literature for a full liquid diet or a

>>>>

>>>> progression from clear liquid to full liquid to soft to regular diets.

>>>>

>>>> This and clear liquid diets are the only instance of a diet being

>>>>

>>>> inserted in NCM that are not evidence or research based.

>>>>

>>>> healthy regards,

>>>>

>>>> Joanne Larsen MS RD LD

>>>>

>>>> In our facility we're deleting it from our diet list this month - just

>>>>> have to

>>>>> get the nurses to stop " advancing as tolerated " and a few damn

>>>>> surgeons to stop

>>>>> ordering it. But it can still be found in the Nutrition Care Manual

>>>>> online

>>>>> (pdf about what it is and that there is no evidence for it).

>>>>> Holly

>>>>> ----------

>>>>> Holly Lee Brewer, MS RD CDE

>>>>> Pediatric Dietitian, Diabetes Educator

>>>>> Medical Nutrition Therapist, Las Vegas, NV

>>>>> Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

>>>>> 301st MDS, NAS JRB Fort Worth (Carswell), TX

>>>>> Joint Base Balad, Iraq (Jan-Jul 2009)

>>>>> ________________________________

>>>>> From: " Dineright4@...<mailto:Dineright4%40aol.com> "

>>>>> <Dineright4@...<mailto:Dineright4%40aol.com>>

>>>>> To: rd-usa <mailto:rd-usa%40yahoogroups.com>

>>>>> Sent: Wed, June 15, 2011 10:22:25 PM

>>>>> Subject: The Great Cancer Hoax - Full Liquid Diet? Evidence

>>>>> based?

>>>>> Too busy lately, so getting into this discussion late.

>>>>> For all the RDs that SAY they insist on Evidence Based Medicine, I ask;

>>>>> Show me the evidence for hospitals to serve full liquid diets. I've

>>>>> NEVER

>>>>> found it, but tens of thousands of RDs nationwide still do this. (I

>>>>> THOUGHT

>>>>> that practice was stopped years ago!)

>>>>> I don't work in hospitals anymore, but recently was visiting a friend

>>>>> in

>>>>> CCU for GI bleed with a full liquid diet on his plate. 2% milk,

>>>>> pudding,

>>>>> cream of potato soup, and ice cream.

>>>>> I was embarrassed for my profession.

>>>>> Please, would some RD that insists on EBM please show me the evidence

>>>>> for

>>>>> that?

>>>>> Jan Patenaude, RD, CLT

>>>>> Director of Medical Nutrition

>>>>> Signet Diagnostic Corp.

>>>>> Telecommuting Nationwide

>>>>> (Mountain Time)

>>>>> Fax:

>>>>> DineRight4@...<mailto:DineRight4%40aol.com>

>>>>> Certified LEAP Therapist and specialist in food sensitivity for IBS,

>>>>> migraine, fibromyalgia and multiple inflammatory conditions. Co-author

>>>>> of the

>>>>> Certified LEAP Therapist (CLT) Training Course.

>>>>> Re: The Great Cancer Hoax - extended thru 6/20

>>>>> _

>>>>>

>>>>

>>>> http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/_

>>>>

>>>> (

>>>>>

>>>>

>>>> http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/

>>>> )

>>>>

>>>> On Mon, Jun 13, 2011 at 11:18 PM, Jacqui Pressly<_Jpress50@..._

>>>>> (

>>>>>

>>>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=gJl7O9-0Wsq_2MXaOdDcGaMT\

i7GYQ

>>>>

>>>> qfD4nP2Os6mSiBLs_6OsOEUFIunjUNDecytZLrYhlHZ)> wrote:

>>>>>

>>>>>> ,

>>>>>> Where is it that this dx doesn't exist? That's what I would be

>>>>>> cautious

>>>>>> about.

>>>>>> Jacquelyn A. Pressly, RD, CLT

>>>>>> The NATURAL dietitian

>>>>>> Specializing in Wellness and Prevention, Personal Nutrition Coaching

>>>>>> and Designer Lifestyle Plans to help you get on the health track

>>>>>> Northeast Ohio & Western Pennsylvania

>>>>>> Internet and telecounseling available for distance clients

>>>>>>

>>>>>> _jpress50@..._

>>>>>>

>>>>> (

>>>>>

>>>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=2n1nW2HOEaLO84cXflZaGxn6\

_ABLxdnwkd6i4Xoi6_FNA0sRcNMgb3hQgncOHblofIntwCHgp7gClw

>>>>

>>>> )

>>>>>

>>>>>> If you are what you eat, then dietitians are the doctors of the future

>>>>>> Re: The Great Cancer Hoax - extended thru 6/20

>>>>>> But are they doing things like adrenal fatigue (dx doesn't exist),

>>>>>>

>>>>> liver

>>>>

>>>> detox, homeopathy and this type of medicine - red flags should be up

>>>>>>

>>>>> IMHO.

>>>>>

>>>>>> As should traditional medicine MDs when excessive and unwarranted and

>>>>>>

>>>>> over

>>>>>

>>>>>> prescribing drugs.

>>>>>>

>>>>>

June 16, 2011

,

If you notice the Nutrition Care Manual did not use terms like low fat

or low residue (at least not when I was editor). I changed the naming

of " diets " to the " disease name " nutrition therapy to change the focus

from specific nutrients to a nutrition prescription that embraced the

Nutrition Care Process. The intent was to create one diet manual that

would be used in all healthy care facilities to offer consistency of

nutrition care and open the door to documenting the outcomes of

nutrition therapy.

So if pureed and ground are texture modifications, then liquid can be a

texture modification added to any nutrition therapy. I'm sure it will

take time for physicians to prescribe nutrition therapy instead of diets

like low fat, low cholesterol, etc depending on their medical school or

residency training. Dietitians can be on the front lines of that

discussion with doctors. Nutrition therapy puts the responsibility on

the dietitian to use the latest evidence / research for what is

appropriate like the shift in diabetes nutrition therapy from the

exchange list to carb counting or the shift in hyperlipidemia from

limiting cholesterol to limiting sat & trans fats. Nutrition therapy

also provides clearer communication with patients that the diet they

are following is nutrition therapy for their specific diagnosis just

like physical therapy, occupational therapy or drug therapy.

BTW long ago, I quit using " diet " when referring to what people eat

because everyone on this planet is on a diet. Diet is the food you eat

and does not indicate any modification to treat a disease process

especially not inferring weight loss.

healthy regards,

Joanne Larsen MS RD LD

> I just wonder how would it be best for a diet manual? What would we

> call it and how if you were given a chance modify it? I have

> different sites and since they aren't hospitals I need a better

> definition as I start to review the new sites and their diet manuals

> (or lack of). Usually it is pureed and I love my speech pathologists

> who are quick to forward the diets if tolerated.

>

> On Thu, Jun 16, 2011 at 6:02 PM, Joanne Larsen <joanne@...

> > wrote:

>

> ,

> Liquid consistency would be a texture modification for any

> nutrition therapy the same as pureed or ground. It should not be

> limited to what in the past was used as a " liquid diet " with foods

> that were liquid at 98.6 degrees Fahrenheit including frozen ice

> cream and used as a progressive diet from clear liquid to soft

> diet. Any texture modifications should be considered when

> prescribing a nutrition therapy for a patient.

>

> For instance, I have prescribed a liquid diet for people with a

> wired jaw due to trauma which is actually more of a thin pureed

> texture modification where food can be drank through a straw

> placed between cheek and gums unless a straw is contraindicated by

> the attending physician. The goal is to prevent weight loss

> during the 6 weeks a person's jaw is wired. They are usually

> provided with wire cutters in case they choke on anything or vomit

> to prevent aspiration. Also prescribed liquid diet for a person

> with a tongue resection due to oral cancer after surgery.

>

> healthy regards,

> Joanne Larsen MS RD LD

>

>> So you would be for it being not a progression but a stand by

>> itself diet or not at all?

>>

>> On Thu, Jun 16, 2011 at 4:17 PM, Joanne Larsen

>> > wrote:

>>

>> , et al,

>> My comment below was to clarify the lack of evidence for a

>> full liquid diet as a progressive diet from clear to soft to

>> regular.

>>

>> If a patient cannot tolerate solid food, it should be the

>> recommendation of the dietitian to order the appropriate

>> consistency using real food first, then liquid supplements

>> whether that be liquid, pureed or ground.

>>

>> If we are to disagree, disagree with a position, not attack

>> the person please.

>>

>> IMHO

>>

>> healthy regards,

>> Joanne Larsen MS RD LD

>>

>> Joanne and others: What would you have instead??

>>

>> On Thu, Jun 16, 2011 at 3:25 PM, Merav

>> Levi> wrote:

>>

>> This conversation reached a new low.Ciao

>>

>> Merav Levi, RD, MS, CDNA dietitian, not the food police.

>> http://www.linkedin.com/in/meravlevi

>>

>> " Life is not measured by the number of breath you

>> take, but by the moments

>> that take your breath away. " - Carlin " People

>> don't forget the truth,

>> they just become better in lying " (Revolutionary Road)

>>

>> To: rd-usa

>> <mailto:rd-usa >

>> CC: hlbrewer@...

>>

>> Date: Thu, 16 Jun 2011 09:26:55 -0600

>> Subject: Re: Full Liquid Diet? Evidence based?

>>

>> Colleagues,

>>

>> Reply to RD-USA listserv only. You do not have my

>> permission to forward.

>>

>> As the editor who created the Nutrition Care Manual,

>> vetted the authors

>>

>> / reviewers and edited every word for the initial

>> launch and the first

>>

>> update, I can tell you why the Full Liquid diet is in

>> NCM. Dietitians

>>

>> who ordered NCM complained to the publisher that

>> their facility's

>>

>> doctors wanted a full liquid diet so the publisher

>> insisted the full

>>

>> liquid diet be added to NCM over my objections and

>> documentation that

>>

>> there is no science in published literature for a

>> full liquid diet or a

>>

>> progression from clear liquid to full liquid to soft

>> to regular diets.

>>

>> This and clear liquid diets are the only instance of

>> a diet being

>>

>> inserted in NCM that are not evidence or research based.

>>

>> healthy regards,

>>

>> Joanne Larsen MS RD LD

>>

>> In our facility we're deleting it from our diet

>> list this month - just

>> have to

>> get the nurses to stop " advancing as tolerated "

>> and a few damn

>> surgeons to stop

>> ordering it. But it can still be found in the

>> Nutrition Care Manual

>> online

>> (pdf about what it is and that there is no

>> evidence for it).

>> Holly

>> ----------

>> Holly Lee Brewer, MS RD CDE

>> Pediatric Dietitian, Diabetes Educator

>> Medical Nutrition Therapist, Las Vegas, NV

>> Maj Holly Brewer, USAFR BSC

>> http://hollyinbalad.blogspot.com

>> 301st MDS, NAS JRB Fort Worth (Carswell), TX

>> Joint Base Balad, Iraq (Jan-Jul 2009)

>> ________________________________

>> From: " Dineright4@...

>> <mailto:Dineright4%40aol.com

>> <mailto:Dineright4%2540aol.com>> "

>> <Dineright4@...

>> <mailto:Dineright4%40aol.com

>> <mailto:Dineright4%2540aol.com>>>

>> To: rd-usa

>>

<mailto:rd-usa ><mailto:rd-usa%40yahoogroups.com

>> <mailto:rd-usa%2540yahoogroups.com>>

>> Sent: Wed, June 15, 2011 10:22:25 PM

>> Subject: The Great Cancer Hoax - Full

>> Liquid Diet? Evidence

>> based?

>> Too busy lately, so getting into this discussion

>> late.

>> For all the RDs that SAY they insist on Evidence

>> Based Medicine, I ask;

>> Show me the evidence for hospitals to serve full

>> liquid diets. I've NEVER

>> found it, but tens of thousands of RDs nationwide

>> still do this. (I

>> THOUGHT

>> that practice was stopped years ago!)

>> I don't work in hospitals anymore, but recently

>> was visiting a friend in

>> CCU for GI bleed with a full liquid diet on his

>> plate. 2% milk, pudding,

>> cream of potato soup, and ice cream.

>> I was embarrassed for my profession.

>> Please, would some RD that insists on EBM please

>> show me the evidence for

>> that?

>> Jan Patenaude, RD, CLT

>> Director of Medical Nutrition

>> Signet Diagnostic Corp.

>> Telecommuting Nationwide

>> <tel:> (Mountain Time)

>> Fax: <tel:>

>> DineRight4@...

>> <mailto:DineRight4%40aol.com

>> <mailto:DineRight4%2540aol.com>>

>> Certified LEAP Therapist and specialist in food

>> sensitivity for IBS,

>> migraine, fibromyalgia and multiple inflammatory

>> conditions. Co-author

>> of the

>> Certified LEAP Therapist (CLT) Training Course.

>> Re: The Great Cancer Hoax - extended

>> thru 6/20

>> _

>>

http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/_

>>

>> (

>>

http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/)

>>

>> On Mon, Jun 13, 2011 at 11:18 PM, Jacqui

>> Pressly<_Jpress50@..._

>> (

>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=gJl7O9-0Wsq_2MXaOdDcGaMT\

i7GYQ

>>

>> qfD4nP2Os6mSiBLs_6OsOEUFIunjUNDecytZLrYhlHZ)> wrote:

>>

>> ,

>> Where is it that this dx doesn't exist?

>> That's what I would be cautious

>> about.

>> Jacquelyn A. Pressly, RD, CLT

>> The NATURAL dietitian

>> Specializing in Wellness and Prevention,

>> Personal Nutrition Coaching

>> and Designer Lifestyle Plans to help you get

>> on the health track

>> Northeast Ohio & Western Pennsylvania

>> Internet and telecounseling available for

>> distance clients

>> <tel:>

>> _jpress50@..._

>>

>> (

>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=2n1nW2HOEaLO84cXflZaGxn6\

_ABLxdnwkd6i4Xoi6_FNA0sRcNMgb3hQgncOHblofIntwCHgp7gClw

>>

>> )

>>

>> If you are what you eat, then dietitians are

>> the doctors of the future

>> Re: The Great Cancer Hoax -

>> extended thru 6/20

>> But are they doing things like adrenal

>> fatigue (dx doesn't exist),

>>

>> liver

>>

>> detox, homeopathy and this type of medicine -

>> red flags should be up

>>

>> IMHO.

>>

>> As should traditional medicine MDs when

>> excessive and unwarranted and

>>

>> over

>>

>> prescribing drugs.

>>

June 16, 2011

I must laugh because when I started my first job 33 years ago we used to

keep a list of diets Dr. (usually interns and residents) ordered like " No

gas diet " , " No protein diet " so we were happy when they ordered a full

liquid etc.(as opposed to an NPO for days at a time) since now we at least

had a reasonable starting point - how times have changed. thanks Joanne for

your help.

> ,

> If you notice the Nutrition Care Manual did not use terms like low fat or

> low residue (at least not when I was editor). I changed the naming of

> " diets " to the " disease name " nutrition therapy to change the focus from

> specific nutrients to a nutrition prescription that embraced the Nutrition

> Care Process. The intent was to create one diet manual that would be used in

> all healthy care facilities to offer consistency of nutrition care and open

> the door to documenting the outcomes of nutrition therapy.

>

> So if pureed and ground are texture modifications, then liquid can be a

> texture modification added to any nutrition therapy. I'm sure it will take

> time for physicians to prescribe nutrition therapy instead of diets like low

> fat, low cholesterol, etc depending on their medical school or residency

> training. Dietitians can be on the front lines of that discussion with

> doctors. Nutrition therapy puts the responsibility on the dietitian to use

> the latest evidence / research for what is appropriate like the shift in

> diabetes nutrition therapy from the exchange list to carb counting or the

> shift in hyperlipidemia from limiting cholesterol to limiting sat & trans

> fats. Nutrition therapy also provides clearer communication with patients

> that the diet they are following is nutrition therapy for their specific

> diagnosis just like physical therapy, occupational therapy or drug therapy.

>

> BTW long ago, I quit using " diet " when referring to what people eat because

> everyone on this planet is on a diet. Diet is the food you eat and does not

> indicate any modification to treat a disease process especially not

> inferring weight loss.

>

> healthy regards,

> Joanne Larsen MS RD LD

>

> I just wonder how would it be best for a diet manual? What would we call it

> and how if you were given a chance modify it? I have different sites and

> since they aren't hospitals I need a better definition as I start to review

> the new sites and their diet manuals (or lack of). Usually it is pureed and

> I love my speech pathologists who are quick to forward the diets if

> tolerated.

>

> On Thu, Jun 16, 2011 at 6:02 PM, Joanne Larsen wrote:

>

>> ,

>> Liquid consistency would be a texture modification for any nutrition

>> therapy the same as pureed or ground. It should not be limited to what in

>> the past was used as a " liquid diet " with foods that were liquid at 98.6

>> degrees Fahrenheit including frozen ice cream and used as a progressive diet

>> from clear liquid to soft diet. Any texture modifications should be

>> considered when prescribing a nutrition therapy for a patient.

>>

>> For instance, I have prescribed a liquid diet for people with a wired jaw

>> due to trauma which is actually more of a thin pureed texture modification

>> where food can be drank through a straw placed between cheek and gums unless

>> a straw is contraindicated by the attending physician. The goal is to

>> prevent weight loss during the 6 weeks a person's jaw is wired. They are

>> usually provided with wire cutters in case they choke on anything or vomit

>> to prevent aspiration. Also prescribed liquid diet for a person with a

>> tongue resection due to oral cancer after surgery.

>>

>> healthy regards,

>> Joanne Larsen MS RD LD

>>

>> So you would be for it being not a progression but a stand by itself diet

>> or not at all?

>>

>> On Thu, Jun 16, 2011 at 4:17 PM, Joanne Larsen wrote:

>>

>>> , et al,

>>> My comment below was to clarify the lack of evidence for a full liquid

>>> diet as a progressive diet from clear to soft to regular.

>>>

>>> If a patient cannot tolerate solid food, it should be the recommendation

>>> of the dietitian to order the appropriate consistency using real food first,

>>> then liquid supplements whether that be liquid, pureed or ground.

>>>

>>> If we are to disagree, disagree with a position, not attack the person

>>> please.

>>>

>>> IMHO

>>>

>>> healthy regards,

>>> Joanne Larsen MS RD LD

>>>

>>>> Joanne and others: What would you have instead??

>>>>

>>>> On Thu, Jun 16, 2011 at 3:25 PM, Merav Levi wrote:

>>>>

>>>> This conversation reached a new low.Ciao

>>>>>

>>>>> Merav Levi, RD, MS, CDNA dietitian, not the food police.

>>>>> http://www.linkedin.com/in/meravlevi

>>>>>

>>>>> " Life is not measured by the number of breath you take, but by the

>>>>> moments

>>>>> that take your breath away. " - Carlin " People don't forget the

>>>>> truth,

>>>>> they just become better in lying " (Revolutionary Road)

>>>>>

>>>>> To: rd-usa

>>>>> CC: hlbrewer@...

>>>>> From: joanne@...

>>>>> Date: Thu, 16 Jun 2011 09:26:55 -0600

>>>>> Subject: Re: Full Liquid Diet? Evidence based?

>>>>>

>>>>> Colleagues,

>>>>>

>>>>> Reply to RD-USA listserv only. You do not have my permission to

>>>>> forward.

>>>>>

>>>>> As the editor who created the Nutrition Care Manual, vetted the authors

>>>>>

>>>>> / reviewers and edited every word for the initial launch and the first

>>>>>

>>>>> update, I can tell you why the Full Liquid diet is in NCM. Dietitians

>>>>>

>>>>> who ordered NCM complained to the publisher that their facility's

>>>>>

>>>>> doctors wanted a full liquid diet so the publisher insisted the full

>>>>>

>>>>> liquid diet be added to NCM over my objections and documentation that

>>>>>

>>>>> there is no science in published literature for a full liquid diet or a

>>>>>

>>>>> progression from clear liquid to full liquid to soft to regular diets.

>>>>>

>>>>> This and clear liquid diets are the only instance of a diet being

>>>>>

>>>>> inserted in NCM that are not evidence or research based.

>>>>>

>>>>> healthy regards,

>>>>>

>>>>> Joanne Larsen MS RD LD

>>>>>

>>>>> In our facility we're deleting it from our diet list this month - just

>>>>>> have to

>>>>>> get the nurses to stop " advancing as tolerated " and a few damn

>>>>>> surgeons to stop

>>>>>> ordering it. But it can still be found in the Nutrition Care Manual

>>>>>> online

>>>>>> (pdf about what it is and that there is no evidence for it).

>>>>>> Holly

>>>>>> ----------

>>>>>> Holly Lee Brewer, MS RD CDE

>>>>>> Pediatric Dietitian, Diabetes Educator

>>>>>> Medical Nutrition Therapist, Las Vegas, NV

>>>>>> Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

>>>>>> 301st MDS, NAS JRB Fort Worth (Carswell), TX

>>>>>> Joint Base Balad, Iraq (Jan-Jul 2009)

>>>>>> ________________________________

>>>>>> From: " Dineright4@...<mailto:Dineright4%40aol.com> "

>>>>>> <Dineright4@...<mailto:Dineright4%40aol.com>>

>>>>>> To: rd-usa <mailto:rd-usa%40yahoogroups.com>

>>>>>> Sent: Wed, June 15, 2011 10:22:25 PM

>>>>>> Subject: The Great Cancer Hoax - Full Liquid Diet? Evidence

>>>>>> based?

>>>>>> Too busy lately, so getting into this discussion late.

>>>>>> For all the RDs that SAY they insist on Evidence Based Medicine, I

>>>>>> ask;

>>>>>> Show me the evidence for hospitals to serve full liquid diets. I've

>>>>>> NEVER

>>>>>> found it, but tens of thousands of RDs nationwide still do this. (I

>>>>>> THOUGHT

>>>>>> that practice was stopped years ago!)

>>>>>> I don't work in hospitals anymore, but recently was visiting a friend

>>>>>> in

>>>>>> CCU for GI bleed with a full liquid diet on his plate. 2% milk,

>>>>>> pudding,

>>>>>> cream of potato soup, and ice cream.

>>>>>> I was embarrassed for my profession.

>>>>>> Please, would some RD that insists on EBM please show me the evidence

>>>>>> for

>>>>>> that?

>>>>>> Jan Patenaude, RD, CLT

>>>>>> Director of Medical Nutrition

>>>>>> Signet Diagnostic Corp.

>>>>>> Telecommuting Nationwide

>>>>>> (Mountain Time)

>>>>>> Fax:

>>>>>> DineRight4@...<mailto:DineRight4%40aol.com>

>>>>>> Certified LEAP Therapist and specialist in food sensitivity for IBS,

>>>>>> migraine, fibromyalgia and multiple inflammatory conditions. Co-author

>>>>>> of the

>>>>>> Certified LEAP Therapist (CLT) Training Course.

>>>>>> Re: The Great Cancer Hoax - extended thru 6/20

>>>>>> _

>>>>>>

>>>>>

>>>>> http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/_

>>>>>

>>>>> (

>>>>>>

>>>>>

>>>>> http://www.sciencebasedmedicine.org/index.php/fatigued-by-a-fake-disease/

>>>>> )

>>>>>

>>>>> On Mon, Jun 13, 2011 at 11:18 PM, Jacqui Pressly<_Jpress50@..._

>>>>>> (

>>>>>>

>>>>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=gJl7O9-0Wsq_2MXaOdDcGaMT\

i7GYQ

>>>>>

>>>>> qfD4nP2Os6mSiBLs_6OsOEUFIunjUNDecytZLrYhlHZ)> wrote:

>>>>>>

>>>>>>> ,

>>>>>>> Where is it that this dx doesn't exist? That's what I would be

>>>>>>> cautious

>>>>>>> about.

>>>>>>> Jacquelyn A. Pressly, RD, CLT

>>>>>>> The NATURAL dietitian

>>>>>>> Specializing in Wellness and Prevention, Personal Nutrition Coaching

>>>>>>> and Designer Lifestyle Plans to help you get on the health track

>>>>>>> Northeast Ohio & Western Pennsylvania

>>>>>>> Internet and telecounseling available for distance clients

>>>>>>>

>>>>>>> _jpress50@..._

>>>>>>>

>>>>>> (

>>>>>>

>>>>>

http://health.groups.yahoo.com/group/rd-usa/post?postID=2n1nW2HOEaLO84cXflZaGxn6\

_ABLxdnwkd6i4Xoi6_FNA0sRcNMgb3hQgncOHblofIntwCHgp7gClw

>>>>>

>>>>> )

>>>>>>

>>>>>>> If you are what you eat, then dietitians are the doctors of the

>>>>>>> future

>>>>>>> Re: The Great Cancer Hoax - extended thru 6/20

>>>>>>> But are they doing things like adrenal fatigue (dx doesn't exist),

>>>>>>>

>>>>>> liver

>>>>>

>>>>> detox, homeopathy and this type of medicine - red flags should be up

>>>>>>>

>>>>>> IMHO.

>>>>>>

>>>>>>> As should traditional medicine MDs when excessive and unwarranted and

>>>>>>>

>>>>>> over

>>>>>>

>>>>>>> prescribing drugs.

>>>>>>>

>>>>>>

June 16, 2011