RE: Re: Prealbumin and albumin?

[Guest guest]

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

From: rd-usa [mailto:rd-usa ] On Behalf Of

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa '

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426

[Guest guest]

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

From: rd-usa [mailto:rd-usa ] On Behalf Of

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa '

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426

[Guest guest]

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

From: rd-usa [mailto:rd-usa ] On Behalf Of

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa '

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426

[Guest guest]

I printed copies of the AND statement on Malnutrition markers that was just in

the journal and gave copies to our billing/coding staff and doctors which states

that these are not good indicators and listed other ways to identify

malnutrition.

From: rd-usa [mailto:rd-usa ] On Behalf Of Digna

Cassens

Sent: Friday, July 06, 2012 10:07 AM

To: rd-usa

Subject: RE: Re: Prealbumin and albumin?

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

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

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

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa <mailto:%27rd-usa%40yahoogroups.com>'

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426

[Guest guest]

I refer all RDs to those same resources and am often discouraged that some

have not even read them or worse not even have heard of them. That's my

point, however, how do we get our own colleagues to this point? Until them

it seems to me we're going to continue to have the same problems no matter

what new data is available.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

From: rd-usa [mailto:rd-usa ] On Behalf Of

Green

Sent: Friday, July 06, 2012 9:21 AM

To: 'rd-usa '

Subject: RE: Re: Prealbumin and albumin?

I printed copies of the AND statement on Malnutrition markers that was just

in the journal and gave copies to our billing/coding staff and doctors which

states that these are not good indicators and listed other ways to identify

malnutrition.

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

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

Of Digna Cassens

Sent: Friday, July 06, 2012 10:07 AM

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

Subject: RE: Re: Prealbumin and albumin?

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

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

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

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

Behalf Of

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa <mailto:%27rd-usa%40yahoogroups.com>

<mailto:%27rd-usa%40yahoogroups.com>'

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426

[Guest guest]

Hi guys, Haven't been on the list for some times. I missed you all, really I

call Alb/Pre-Alb and CRP " re-imbursment markers " .In my opinion, the reason MDs

are so attached to these markers is because it is used for billing. As long as

the insurance carriers will consider that for billing for malnutrition, MDs will

continue to use that. And even if this is only a part of the whole picture, they

will constinue to do so as long as they see the $ sign atteched to it. I am

waiting for the day that the health insurances carriers will realize that they

are paying for a faulty marker. A bigger problem I have is that in the PNCM,

Sickle Cell Disease Risk Factor Scoring includes levels of Albumin as a creteria

for malnutrition. Unless someone will show me that this a specific issue with

CSA.See the link

belowhttp://www.nutritioncaremanual.org/docs/sickle_cell_disease_risk_factor_sco\

ring.pdf Why is it that our own org. still uses it, at least in some cases/Dx.?

Merav Levi, RD, MS, CDN, CSGA 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

From: dignacassens@...

Date: Fri, 6 Jul 2012 09:48:13 -0700

Subject: RE: Re: Prealbumin and albumin?

I refer all RDs to those same resources and am often discouraged that some

have not even read them or worse not even have heard of them. That's my

point, however, how do we get our own colleagues to this point? Until them

it seems to me we're going to continue to have the same problems no matter

what new data is available.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

From: rd-usa [mailto:rd-usa ] On Behalf Of

Green

Sent: Friday, July 06, 2012 9:21 AM

To: 'rd-usa '

Subject: RE: Re: Prealbumin and albumin?

I printed copies of the AND statement on Malnutrition markers that was just

in the journal and gave copies to our billing/coding staff and doctors which

states that these are not good indicators and listed other ways to identify

malnutrition.

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

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

Of Digna Cassens

Sent: Friday, July 06, 2012 10:07 AM

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

Subject: RE: Re: Prealbumin and albumin?

Good point, , but we also have to work on convincing ALL our own

colleagues, who fall prey to this fallacy and use it as a panacea for

everything from calorie deficits to whatever else may require a bit of

critical thinking.

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Management Systems

La Habra, CA 90633

NOW AVAILABLE on Amazon.com - Flavorful Fortified Foods - Recipes to Enrich

Life - a collection of 60 high calorie, high protein, easy to prepare

recipes for home or facility use by Digna Cassens and Eck Mills

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

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

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

Behalf Of

S. Berry

Sent: Friday, July 06, 2012 8:49 AM

To: 'rd-usa <mailto:%27rd-usa%40yahoogroups.com>

<mailto:%27rd-usa%40yahoogroups.com>'

Subject: Re: Prealbumin and albumin?

I fully agree with all these comments re: albumin, pre-albumin, and CRP. My

question is how to convince doctors, nurses, and even state surveyors that

these are not appropriate nutritional markers?? I am becoming frustrated

explaining these basics (when CRP is high, pre-alb is low, etc) over and

over! Any good succinct research papers I can hand over to residents and

interns?

Thank You,

Berry, MS, RD

Healdsburg District Hospital

Clinical Dietitian

(707)431-6426