Re: Full Liquid Diet? Evidence based?

[Guest guest]

Joanne,

This is an interesting twist where this discussion has led, making it even

more interesting. I have been using the NCM since Jan 2011 when I started my

own practice and I find it quite useful even when I have to translate most

of the guidelines. What I've been saying to my clients and patients is what

I truly believe; that I don't believe in " diets " , that I believe in eating

the right foods that will help them be better nourished, and if ill, to heal

ease the effects of their condition. I call the instructions guidelines for

them to learn more and then discuss with me again those they can't follow so

we can find alternatives. This has taken me out of the " mother " role and

turned me into the colleague and mentor. Although in some of my settings I

don't get to do frequent f.up visits, so far I've been very pleased with the

outcomes, even those I was not expecting any progress with, and have even

attracted family members to be present at the second home appointment. I

didn't realize your responsibility in changing the set up and organization

of the manual, so thanks for the important detail.

Although diabetes has never been my favorite, the majority of my clients are

diabetics. I have found the carb counting a tool of incredible value. I

enjoy watching their faces when there are no forbidden foods and read the

huge numbers of foods they're told they can eat. I see the outcomes if I do

a f.up in the blood sugar levels (they all keep logs) and weights.

Digna

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.

>>

>>

[Guest guest]

Joanne,

This is an interesting twist where this discussion has led, making it even

more interesting. I have been using the NCM since Jan 2011 when I started my

own practice and I find it quite useful even when I have to translate most

of the guidelines. What I've been saying to my clients and patients is what

I truly believe; that I don't believe in " diets " , that I believe in eating

the right foods that will help them be better nourished, and if ill, to heal

ease the effects of their condition. I call the instructions guidelines for

them to learn more and then discuss with me again those they can't follow so

we can find alternatives. This has taken me out of the " mother " role and

turned me into the colleague and mentor. Although in some of my settings I

don't get to do frequent f.up visits, so far I've been very pleased with the

outcomes, even those I was not expecting any progress with, and have even

attracted family members to be present at the second home appointment. I

didn't realize your responsibility in changing the set up and organization

of the manual, so thanks for the important detail.

Although diabetes has never been my favorite, the majority of my clients are

diabetics. I have found the carb counting a tool of incredible value. I

enjoy watching their faces when there are no forbidden foods and read the

huge numbers of foods they're told they can eat. I see the outcomes if I do

a f.up in the blood sugar levels (they all keep logs) and weights.

Digna

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.

>>

>>

[Guest guest]

Merav, Yahoo groups is acting weird and at the moment doesn't show some of the

answers. So I am sorry for the late reply.

In my opinion even 3 days with clear liquids is too much in patients with high

risk of malnutrition. Several studies prove that even 24 h fasting with only

clear liquids increase metabolic stress. Usually in those patients I allow the

liquids that they can eat but use some kind of nutritional support as well,

enteral or parenteral. Even though oral nutrition products don't taste that

great for some people (although I have tried all of them and and most taste

good)they are usually well tolerated if you use low osmolarity ones. With the

oral nutrition support I talk with the patient to check their preferences if

they don't like the taste of a product I usually change to the other brand.

After GI surgery, if the patient is doing TPN I keep it until they can fulfil

around 60% of their energy needs PO. If they aren't doing TPN instead of

starting with clear liquids diet I start with an oral nutrition support product.

Patients usually tolerate well. I always talk with the patient explaining that

enteral nutrition is part of their treatment and will help them in recovery.

Never had any of them rejecting the products.

Catia Borges

>

> >

>

> > >

>

> > >

>

> > >

>

> > > Pam,I am sorry to be the one who says that, but I am very surprised how

>

> > > harsh and " personal " your response was. these kind of responses hold many

on

>

> > > the list from participating in active discussion. We are not all informed

>

> > > 100% on 100% of the topics, and no one should be expected to be an expert

on

>

> > > every single topic. It is impossible and very unhealthy, professionally,

to

>

> > > anyone,to assume they " know all " .Sometimes clear liquid or full liq diets

>

> > > are the only thing pts can tolerate and its better then NPO, and it should

>

> > > not be used more then few days bc it is nutritionally lacking. But with

all

>

> > > do respect to EBM - textbook and studies are not case study and real

>

> > > practice. Pts are not textbook nor a study, and even in EMB there is a

value

>

> > > to case studies. Respected journals publish them all the time. thats why

>

> > > they are called case studies. and to say that clear of full liq diet is

just

>

> > > wrong all across the board is wrong too.

>

> > > Pam, your knowledge and experience are priceless and greatly appreciate,

>

> > > but we need to leave room for ppl to ask freely, without the fear of being

>

> > > scrutinized by others.

>

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

>

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

>

> >

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Merav, Yahoo groups is acting weird and at the moment doesn't show some of the

answers. So I am sorry for the late reply.

In my opinion even 3 days with clear liquids is too much in patients with high

risk of malnutrition. Several studies prove that even 24 h fasting with only

clear liquids increase metabolic stress. Usually in those patients I allow the

liquids that they can eat but use some kind of nutritional support as well,

enteral or parenteral. Even though oral nutrition products don't taste that

great for some people (although I have tried all of them and and most taste

good)they are usually well tolerated if you use low osmolarity ones. With the

oral nutrition support I talk with the patient to check their preferences if

they don't like the taste of a product I usually change to the other brand.

After GI surgery, if the patient is doing TPN I keep it until they can fulfil

around 60% of their energy needs PO. If they aren't doing TPN instead of

starting with clear liquids diet I start with an oral nutrition support product.

Patients usually tolerate well. I always talk with the patient explaining that

enteral nutrition is part of their treatment and will help them in recovery.

Never had any of them rejecting the products.

Catia Borges

>

> >

>

> > >

>

> > >

>

> > >

>

> > > Pam,I am sorry to be the one who says that, but I am very surprised how

>

> > > harsh and " personal " your response was. these kind of responses hold many

on

>

> > > the list from participating in active discussion. We are not all informed

>

> > > 100% on 100% of the topics, and no one should be expected to be an expert

on

>

> > > every single topic. It is impossible and very unhealthy, professionally,

to

>

> > > anyone,to assume they " know all " .Sometimes clear liquid or full liq diets

>

> > > are the only thing pts can tolerate and its better then NPO, and it should

>

> > > not be used more then few days bc it is nutritionally lacking. But with

all

>

> > > do respect to EBM - textbook and studies are not case study and real

>

> > > practice. Pts are not textbook nor a study, and even in EMB there is a

value

>

> > > to case studies. Respected journals publish them all the time. thats why

>

> > > they are called case studies. and to say that clear of full liq diet is

just

>

> > > wrong all across the board is wrong too.

>

> > > Pam, your knowledge and experience are priceless and greatly appreciate,

>

> > > but we need to leave room for ppl to ask freely, without the fear of being

>

> > > scrutinized by others.

>

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

>

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

>

> >

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Digna,

I did not indicate that your comments attacked a person and my email

below was not directed to you, who was cc on my email or anyone

else on this thread below. My comments about disagreements was to the

list as a whole to maintain a professional atmosphere in which all can

share their experience and opinions.

healthy regards,

Joanne Larsen MS RD LD

>

> Joanne,

>

> We have corresponded a lot in the past regarding my contributions as a

> " reader " for some of the ADA publications. I'm surprised you include my

> comments in your comment about " attacking a person " . I am merely, as

> you did

> , stating my personal professional experiences. Just to clarify for me,

> please let me know the statement I made that was considered a personal

> attack against someone so I can make sure I do not use that type of

> statement again.

>

> Thanks.

>

> Digna

>

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

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

> Behalf Of

> Joanne Larsen

> Sent: Thursday, June 16, 2011 1:18 PM

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

> Cc: Ortiz

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

>

> , 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<meravls@...

> <mailto:meravls%40msn.com>

> <mailto:meravls%40msn.com> > 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%40yahoogroups.com>

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

> >> CC: hlbrewer@... <mailto:hlbrewer%40yahoo.com>

> <mailto:hlbrewer%40yahoo.com>

> >> From: joanne@... <mailto:joanne%40dietitian.com>

> <mailto:joanne%40dietitian.com>

> >> 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%40aol.com>

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

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

> <mailto:Dineright4%40aol.com>

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

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

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

> <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>

> <mailto:DineRight4%40aol.com>

> <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_2MXaOdDc

> GaMTi7GYQ

> >>

> >>> 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=2n1nW2HOEaLO84cXflZa

> Gxn6_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.

> >>>

[Guest guest]

Digna,

I did not indicate that your comments attacked a person and my email

below was not directed to you, who was cc on my email or anyone

else on this thread below. My comments about disagreements was to the

list as a whole to maintain a professional atmosphere in which all can

share their experience and opinions.

healthy regards,

Joanne Larsen MS RD LD

>

> Joanne,

>

> We have corresponded a lot in the past regarding my contributions as a

> " reader " for some of the ADA publications. I'm surprised you include my

> comments in your comment about " attacking a person " . I am merely, as

> you did

> , stating my personal professional experiences. Just to clarify for me,

> please let me know the statement I made that was considered a personal

> attack against someone so I can make sure I do not use that type of

> statement again.

>

> Thanks.

>

> Digna

>

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

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

> Behalf Of

> Joanne Larsen

> Sent: Thursday, June 16, 2011 1:18 PM

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

> Cc: Ortiz

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

>

> , 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<meravls@...

> <mailto:meravls%40msn.com>

> <mailto:meravls%40msn.com> > 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%40yahoogroups.com>

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

> >> CC: hlbrewer@... <mailto:hlbrewer%40yahoo.com>

> <mailto:hlbrewer%40yahoo.com>

> >> From: joanne@... <mailto:joanne%40dietitian.com>

> <mailto:joanne%40dietitian.com>

> >> 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%40aol.com>

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

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

> <mailto:Dineright4%40aol.com>

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

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

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

> <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>

> <mailto:DineRight4%40aol.com>

> <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_2MXaOdDc

> GaMTi7GYQ

> >>

> >>> 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=2n1nW2HOEaLO84cXflZa

> Gxn6_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.

> >>>

[Guest guest]

Digna,

I did not indicate that your comments attacked a person and my email

below was not directed to you, who was cc on my email or anyone

else on this thread below. My comments about disagreements was to the

list as a whole to maintain a professional atmosphere in which all can

share their experience and opinions.

healthy regards,

Joanne Larsen MS RD LD

>

> Joanne,

>

> We have corresponded a lot in the past regarding my contributions as a

> " reader " for some of the ADA publications. I'm surprised you include my

> comments in your comment about " attacking a person " . I am merely, as

> you did

> , stating my personal professional experiences. Just to clarify for me,

> please let me know the statement I made that was considered a personal

> attack against someone so I can make sure I do not use that type of

> statement again.

>

> Thanks.

>

> Digna

>

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

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

> Behalf Of

> Joanne Larsen

> Sent: Thursday, June 16, 2011 1:18 PM

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

> Cc: Ortiz

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

>

> , 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<meravls@...

> <mailto:meravls%40msn.com>

> <mailto:meravls%40msn.com> > 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%40yahoogroups.com>

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

> >> CC: hlbrewer@... <mailto:hlbrewer%40yahoo.com>

> <mailto:hlbrewer%40yahoo.com>

> >> From: joanne@... <mailto:joanne%40dietitian.com>

> <mailto:joanne%40dietitian.com>

> >> 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%40aol.com>

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

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

> <mailto:Dineright4%40aol.com>

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

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

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

> <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>

> <mailto:DineRight4%40aol.com>

> <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_2MXaOdDc

> GaMTi7GYQ

> >>

> >>> 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=2n1nW2HOEaLO84cXflZa

> Gxn6_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.

> >>>

[Guest guest]

Thanks for clarifying for me, Joanne. I would feel badly if I offended

anyone, but know only too well that often we all sound harsher than we

intended just bc there is no face-to-face or vocal expressions to discern

the writer's mood or purpose. Digna

From: Joanne Larsen

Sent: Monday, June 20, 2011 7:45 AM

To: rd-usa

Cc: Digna Cassens

Subject: Re: Full Liquid Diet? Evidence based?

Digna,

I did not indicate that your comments attacked a person and my email below

was not directed to you, who was cc on my email or anyone else on this

thread below. My comments about disagreements was to the list as a whole to

maintain a professional atmosphere in which all can share their experience

and opinions.

healthy regards,

Joanne Larsen MS RD LD

Joanne,

We have corresponded a lot in the past regarding my contributions as a

" reader " for some of the ADA publications. I'm surprised you include my

comments in your comment about " attacking a person " . I am merely, as you did

, stating my personal professional experiences. Just to clarify for me,

please let me know the statement I made that was considered a personal

attack against someone so I can make sure I do not use that type of

statement again.

Thanks.

Digna

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

[mailto:rd-usa <mailto:rd-usa%40yahoogroups.com> ] On Behalf

Of

Joanne Larsen

Sent: Thursday, June 16, 2011 1:18 PM

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

Cc: Ortiz

Subject: Re: Full Liquid Diet? Evidence based?

, 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<meravls@...

<mailto:meravls%40msn.com>

<mailto:meravls%40msn.com> <mailto:meravls%40msn.com> > 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%40yahoogroups.com>

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

>> CC: hlbrewer@... <mailto:hlbrewer%40yahoo.com>

<mailto:hlbrewer%40yahoo.com> <mailto:hlbrewer%40yahoo.com>

>> From: joanne@... <mailto:joanne%40dietitian.com>

<mailto:joanne%40dietitian.com> <mailto:joanne%40dietitian.com>

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

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

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

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

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

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

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

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

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

<mailto:DineRight4%40aol.com> <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_2MXaOdDc

GaMTi7GYQ

>>

>>> 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=2n1nW2HOEaLO84cXflZa

Gxn6_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.

>>>

[Guest guest]

Thanks for clarifying for me, Joanne. I would feel badly if I offended

anyone, but know only too well that often we all sound harsher than we

intended just bc there is no face-to-face or vocal expressions to discern

the writer's mood or purpose. Digna

From: Joanne Larsen

Sent: Monday, June 20, 2011 7:45 AM

To: rd-usa

Cc: Digna Cassens

Subject: Re: Full Liquid Diet? Evidence based?

Digna,

I did not indicate that your comments attacked a person and my email below

was not directed to you, who was cc on my email or anyone else on this

thread below. My comments about disagreements was to the list as a whole to

maintain a professional atmosphere in which all can share their experience

and opinions.

healthy regards,

Joanne Larsen MS RD LD

Joanne,

We have corresponded a lot in the past regarding my contributions as a

" reader " for some of the ADA publications. I'm surprised you include my

comments in your comment about " attacking a person " . I am merely, as you did

, stating my personal professional experiences. Just to clarify for me,

please let me know the statement I made that was considered a personal

attack against someone so I can make sure I do not use that type of

statement again.

Thanks.

Digna

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

[mailto:rd-usa <mailto:rd-usa%40yahoogroups.com> ] On Behalf

Of

Joanne Larsen

Sent: Thursday, June 16, 2011 1:18 PM

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

Cc: Ortiz

Subject: Re: Full Liquid Diet? Evidence based?

, 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<meravls@...

<mailto:meravls%40msn.com>

<mailto:meravls%40msn.com> <mailto:meravls%40msn.com> > 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%40yahoogroups.com>

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

>> CC: hlbrewer@... <mailto:hlbrewer%40yahoo.com>

<mailto:hlbrewer%40yahoo.com> <mailto:hlbrewer%40yahoo.com>

>> From: joanne@... <mailto:joanne%40dietitian.com>

<mailto:joanne%40dietitian.com> <mailto:joanne%40dietitian.com>

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

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

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

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

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

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

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

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

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

<mailto:DineRight4%40aol.com> <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_2MXaOdDc

GaMTi7GYQ

>>

>>> 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=2n1nW2HOEaLO84cXflZa

Gxn6_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.

>>>