Help

April 11, 2004

In a message dated 4/11/2004 3:10:14 AM Eastern Daylight Time,

lisa@... writes:

> Maytbe I Should write a stain remover book

>

Leis,

Don't forget nail polish remover in your book! My previous tenant was into

martial arts and had a lot of rubber mats around for his workouts. They left

traces of rubber on the kitchen floor. We tried every special chemical remover

known to mankind. The only thing that worked was nail polish remover and a

scrub brush. Just don't forget to leave the window open.

Kathy, Liam's mom( 6)

May 27, 2004

Pete or Anyone with A-1,

I just set up to run my 9 yo and could get no steady connection from the A1...just a bouncing between "connecting" and "connected. All power is exactly same, there appears to be no rhythm, all connections at head and plugs were checked and good. It now continues to bounce even tho my son is long gone.

What was the solution when this came up about 3 months ago....?

No hurry...I just need a solution by morning...9am West Coast time!

Thanks for all help! Lori/Brainworks/Alaska

Re: Home-Based Training Discussion

Pete,

I've been using the BrainMaster for home-based training for the past year. I agree with Lynn that it is a great system for that purpose because it allows the clinician to maintain control over the protocols. Also, session files can be e-mailed back and forth, which allows me to view session results, get feedback via telephone or e-mail about training effects, then make any necessary protocol adjustments and e-mail the next lot of sessions.

I'm charging a flat monthly fee for supervision, which I think helps with motivation. I tell folks that they can greatly reduce the cost per session by doing more of them per month. I live at a seaside tourist destination, so people sometimes fly in for a family vacation for a week or two, and during that time I do my initial assessments and then see them for neurofeedback sessions every day (or even twice per day).

During that time I'm making any necessary protocol adjustments and also training the family members about electrode placement, site preparation, getting a good signal, etc, so that over the last few sessions they are actually running the sessions under my observation. Then when they get home there is no big transition.

I do sometimes see a tapering off of "sessions per week" (eg, from 10 per week back down to about 2-3 per week over time), but that is no big deal. Motivation is usually pretty good.

I'm also using BrainMaster's remote units in a school setting. I have trained teachers how to act as technicians and run sessions, but they still e-mail results to me and we have teachers and parents filling out weekly forms to monitor progress and make any necessary protocol adjustments.

That program is working very well. The kids just need to step out of their classroom for half an hour, do a session, then go back to class. No big deal. They are six autistic kids in a special school setting and are each doing three neurofeedback sessions per week. We are getting great results, including the two functionally non-verbal kids starting to speak in short sentences and the two epileptic kids have both stopped having seizures.

We have just heard that this program has won a regional Showcase Award for Excellence in Innovation with the state Education Department. The finals in July carry a $20,000 prize for the winning school, so we are looking forward to that.

I really do think that remote training can work well with the right people and the right supports in place.

Mark Darling

Sunshine Coast, Australia

May 27, 2004

Fred,

if it's a wireless Pocket, in BE " devices " make sure the parity is set

to " none " - the default is " space " since that what the IR devices use.

tks

bruce.

> Pete or Anyone with A-1,

> I just set up to run my 9 yo and could get no steady connection from

the A1...just a bouncing between " connecting " and " connected. All

power is exactly same, there appears to be no rhythm, all connections

at head and plugs were checked and good. It now continues to bounce

even tho my son is long gone.

> What was the solution when this came up about 3 months ago....?

> No hurry...I just need a solution by morning...9am West Coast time!

> Thanks for all help! Lori/Brainworks/Alaska

> Re: Home-Based Training Discussion

>

> Pete,

>

> I've been using the BrainMaster for home-based training for the

past year. I agree with Lynn that it is a great system for that

purpose because it allows the clinician to maintain control over the

protocols. Also, session files can be e-mailed back and forth, which

allows me to view session results, get feedback via telephone or

e-mail about training effects, then make any necessary protocol

adjustments and e-mail the next lot of sessions.

>

> I'm charging a flat monthly fee for supervision, which I think

helps with motivation. I tell folks that they can greatly reduce the

cost per session by doing more of them per month. I live at a seaside

tourist destination, so people sometimes fly in for a family vacation

for a week or two, and during that time I do my initial assessments

and then see them for neurofeedback sessions every day (or even twice

per day).

>

> During that time I'm making any necessary protocol adjustments

and also training the family members about electrode placement, site

preparation, getting a good signal, etc, so that over the last few

sessions they are actually running the sessions under my observation.

Then when they get home there is no big transition.

>

> I do sometimes see a tapering off of " sessions per week " (eg,

from 10 per week back down to about 2-3 per week over time), but that

is no big deal. Motivation is usually pretty good.

>

> I'm also using BrainMaster's remote units in a school setting. I

have trained teachers how to act as technicians and run sessions, but

they still e-mail results to me and we have teachers and parents

filling out weekly forms to monitor progress and make any necessary

protocol adjustments.

>

> That program is working very well. The kids just need to step

out of their classroom for half an hour, do a session, then go back to

class. No big deal. They are six autistic kids in a special school

setting and are each doing three neurofeedback sessions per week. We

are getting great results, including the two functionally non-verbal

kids starting to speak in short sentences and the two epileptic kids

have both stopped having seizures.

>

> We have just heard that this program has won a regional Showcase

Award for Excellence in Innovation with the state Education

Department. The finals in July carry a $20,000 prize for the winning

school, so we are looking forward to that.

>

> I really do think that remote training can work well with the

right people and the right supports in place.

>

> Mark Darling

> Sunshine Coast, Australia

>

May 28, 2004

Lori,

Go into BioExplorer and choose the BioExplorer menu:Devices

Select the A-1 and click on Properties

Make sure Parity is set to None.

If that doesn't work, try setting it to Space.

Pete

>

> From: Fred Gorsch <flgorsch@...>

> Date: 2004/05/28 Fri AM 12:57:09 EDT

>

> Subject: Re: HELP

>

> Pete or Anyone with A-1,

> I just set up to run my 9 yo and could get no steady connection from the

A1...just a bouncing between " connecting " and " connected. All power is exactly

same, there appears to be no rhythm, all connections at head and plugs were

checked and good. It now continues to bounce even tho my son is long gone.

> What was the solution when this came up about 3 months ago....?

> No hurry...I just need a solution by morning...9am West Coast time!

> Thanks for all help! Lori/Brainworks/Alaska

> Re: Home-Based Training Discussion

>

> Pete,

>

> I've been using the BrainMaster for home-based training for the past year.

I agree with Lynn that it is a great system for that purpose because it allows

the clinician to maintain control over the protocols. Also, session files can be

e-mailed back and forth, which allows me to view session results, get feedback

via telephone or e-mail about training effects, then make any necessary protocol

adjustments and e-mail the next lot of sessions.

>

> I'm charging a flat monthly fee for supervision, which I think helps with

motivation. I tell folks that they can greatly reduce the cost per session by

doing more of them per month. I live at a seaside tourist destination, so people

sometimes fly in for a family vacation for a week or two, and during that time I

do my initial assessments and then see them for neurofeedback sessions every day

(or even twice per day).

>

> During that time I'm making any necessary protocol adjustments and also

training the family members about electrode placement, site preparation, getting

a good signal, etc, so that over the last few sessions they are actually running

the sessions under my observation. Then when they get home there is no big

transition.

>

> I do sometimes see a tapering off of " sessions per week " (eg, from 10 per

week back down to about 2-3 per week over time), but that is no big deal.

Motivation is usually pretty good.

>

> I'm also using BrainMaster's remote units in a school setting. I have

trained teachers how to act as technicians and run sessions, but they still

e-mail results to me and we have teachers and parents filling out weekly forms

to monitor progress and make any necessary protocol adjustments.

>

> That program is working very well. The kids just need to step out of their

classroom for half an hour, do a session, then go back to class. No big deal.

They are six autistic kids in a special school setting and are each doing three

neurofeedback sessions per week. We are getting great results, including the two

functionally non-verbal kids starting to speak in short sentences and the two

epileptic kids have both stopped having seizures.

>

> We have just heard that this program has won a regional Showcase Award for

Excellence in Innovation with the state Education Department. The finals in July

carry a $20,000 prize for the winning school, so we are looking forward to that.

>

> I really do think that remote training can work well with the right people

and the right supports in place.

>

> Mark Darling

> Sunshine Coast, Australia

>

May 28, 2004

Go to Devices under the Bioexplorer scrfeen and check the settings for

the A1. Parity should be NONE.

On May 28, 2004, at 12:57 AM, Fred Gorsch wrote:

Pete or Anyone with A-1,

I just set up to run my 9 yo and could get no steady connection from

the A1...just a bouncing between " connecting " and " connected. All power

is exactly same, there appears to be no rhythm, all connections at head

and plugs were checked and good. It now continues to bounce even tho my

son is long gone.

What was the solution when this came up about 3 months ago....?

No hurry...I just need a solution by morning...9am West Coast time!

Thanks for all help! Lori/Brainworks/Alaska

Re: Home-Based Training Discussion

Pete,

I've been using the BrainMaster for home-based training for the past

year. I agree with Lynn that it is a great system for that purpose

because it allows the clinician to maintain control over the protocols.

Also, session files can be e-mailed back and forth, which allows me to

view session results, get feedback via telephone or e-mail about

training effects, then make any necessary protocol adjustments and

e-mail the next lot of sessions.

I'm charging a flat monthly fee for supervision, which I think helps

with motivation. I tell folks that they can greatly reduce the cost per

session by doing more of them per month. I live at a seaside tourist

destination, so people sometimes fly in for a family vacation for a

week or two, and during that time I do my initial assessments and then

see them for neurofeedback sessions every day (or even twice per day).

During that time I'm making any necessary protocol adjustments and also

training the family members about electrode placement, site

preparation, getting a good signal, etc, so that over the last few

sessions they are actually running the sessions under my observation.

Then when they get home there is no big transition.

I do sometimes see a tapering off of " sessions per week " (eg, from 10

per week back down to about 2-3 per week over time), but that is no big

deal. Motivation is usually pretty good.

I'm also using BrainMaster's remote units in a school setting. I have

trained teachers how to act as technicians and run sessions, but they

still e-mail results to me and we have teachers and parents filling out

weekly forms to monitor progress and make any necessary protocol

adjustments.

That program is working very well. The kids just need to step out of

their classroom for half an hour, do a session, then go back to class.

No big deal. They are six autistic kids in a special school setting and

are each doing three neurofeedback sessions per week. We are getting

great results, including the two functionally non-verbal kids starting

to speak in short sentences and the two epileptic kids have both

stopped having seizures.

We have just heard that this program has won a regional Showcase Award

for Excellence in Innovation with the state Education Department. The

finals in July carry a $20,000 prize for the winning school, so we are

looking forward to that.

I really do think that remote training can work well with the right

people and the right supports in place.

Mark Darling

Sunshine Coast, Australia

May 28, 2004

If 's advice doesn't work, try SPACE as parity option.

-Matt

Re: HELP

Go to Devices under the Bioexplorer scrfeen and check the settings for

the A1. Parity should be NONE.

On May 28, 2004, at 12:57 AM, Fred Gorsch wrote:

Pete or Anyone with A-1,

I just set up to run my 9 yo and could get no steady connection from

the A1...just a bouncing between " connecting " and " connected. All power

is exactly same, there appears to be no rhythm, all connections at head

and plugs were checked and good. It now continues to bounce even tho my

son is long gone.

What was the solution when this came up about 3 months ago....?

No hurry...I just need a solution by morning...9am West Coast time!

Thanks for all help! Lori/Brainworks/Alaska

Re: Home-Based Training Discussion

Pete,

I've been using the BrainMaster for home-based training for the past

year. I agree with Lynn that it is a great system for that purpose

because it allows the clinician to maintain control over the protocols.

Also, session files can be e-mailed back and forth, which allows me to

view session results, get feedback via telephone or e-mail about

training effects, then make any necessary protocol adjustments and

e-mail the next lot of sessions.

I'm charging a flat monthly fee for supervision, which I think helps

with motivation. I tell folks that they can greatly reduce the cost per

session by doing more of them per month. I live at a seaside tourist

destination, so people sometimes fly in for a family vacation for a

week or two, and during that time I do my initial assessments and then

see them for neurofeedback sessions every day (or even twice per day).

During that time I'm making any necessary protocol adjustments and also

training the family members about electrode placement, site

preparation, getting a good signal, etc, so that over the last few

sessions they are actually running the sessions under my observation.

Then when they get home there is no big transition.

I do sometimes see a tapering off of " sessions per week " (eg, from 10

per week back down to about 2-3 per week over time), but that is no big

deal. Motivation is usually pretty good.

I'm also using BrainMaster's remote units in a school setting. I have

trained teachers how to act as technicians and run sessions, but they

still e-mail results to me and we have teachers and parents filling out

weekly forms to monitor progress and make any necessary protocol

adjustments.

That program is working very well. The kids just need to step out of

their classroom for half an hour, do a session, then go back to class.

No big deal. They are six autistic kids in a special school setting and

are each doing three neurofeedback sessions per week. We are getting

great results, including the two functionally non-verbal kids starting

to speak in short sentences and the two epileptic kids have both

stopped having seizures.

We have just heard that this program has won a regional Showcase Award

for Excellence in Innovation with the state Education Department. The

finals in July carry a $20,000 prize for the winning school, so we are

looking forward to that.

I really do think that remote training can work well with the right

people and the right supports in place.

Mark Darling

Sunshine Coast, Australia

July 22, 2004

I have read a lot here too! My " type " of chondromalacia is where the femur

meets the knee, my bone is degenerating. I was told that there was nothing more

they could do, besides clean it up maybe yearly. Well, that turned into 2x a

year, then the last couple of rounds, due to scar tissue and locking it

would have only been 12 weeks.

Krisstina King

July 22, 2004

When you say " where the femur meets the knee " what do you mean by " knee " ? The

tibia? It's usually the kneecap rubbing against the femur. If the femur is

actually rubbing on the tibia, that would mean you have some seriously missing

meniscus & articular cartilage and are a candidate for a knee replacement,

depending on your age and how disabled you are.

If by " knee " you mean kneecap, it seems to me that you should consider a lateral

retinacular release (if the place where they rub is lateral).

Do you find the cleanups help (until you need another one)?

Have you tried McConnell taping?

Ann

Re: help

I have read a lot here too! My " type " of chondromalacia is where the femur

meets the knee, my bone is degenerating. I was told that there was nothing

more

they could do, besides clean it up maybe yearly. Well, that turned into 2x a

year, then the last couple of rounds, due to scar tissue and locking it

would have only been 12 weeks.

Krisstina King

August 6, 2004

I apologize, I guess I should have worded this differently. My femur is

degenerating just above where it meets the knee.

I have not had a good experience, with the cleanups. The more surgery the

less time they seem to work. The scar tissue forms so quickly.

I have not ever heard of McDonnell taping, would that be a consideration for

my placement of my degeneration?

Krisstina

September 7, 2004

Hi !

First of all, the most important thing is that you and your family

are safe and ok. Second, try and eat as consciously as you can, but

understandably, you won't be eating everything perfectly.

Life can get in the way of our goals and we just have to work around

the obstacles. Maybe you can change your challenge submission to

Inspirational! You survived a hurricane for pete's sake We're all

rooting for you and there will be another challenge after this one

so hang in there .

jennifer

C1W2D8

> Hi all. If you guys remember, I was going to take it easy with all

> the stress about the storm coming our way. Well, our electricity

has

> been out since Sun afternoon and my eating has not been good. We

had

> to throw all our food in the fridge and freezer away and have been

> eating at resaurants and over family's houses since Sun. It has

just

> been crazy and my mind has just not been on eating healthy. On top

of

> that, I haven't been keeping up with my exercising since Sun

because

> it is just too hot in our house. I am at my parent's house right

> now.

>

> I need some words of encouragment to stay on track. I had entered

> the official competition and just mailed in my 4-week results when

> all of this happened. I am worried that my 12-week results will

not

> be good now. I don't know when our power will be back on to even

> stock up on all my foods again. Any advice?

>

September 7, 2004

Well, I am a newbie here and I am truly sorry that you are having to

go through what you are right now. It will all be better soon for you

I hope. What I do know from past tries at losing weight is to first

and foremost, relax. Take some me time to rationalize what is going

on, to allow you to take in everything that is going on, and to give

yourself time to prioritize some time to do what you need to do for

yourself.

Example would be, go out for several walks when you can to get in

your aerobic time in, especially before meals. I have been told that

if done an hour or more before a meal time, that it curbs your

cravings to eat more. Also with exercise you gain those happy

endorphins (sp?) that will help keep your spirits up as you need to

get by until your life is more back in order. As far as foods go,

well, take it in stride. Eat what you can that is offered

healthywise, at other people's houses. Most people do not mind when

you ask if they have salad fixings and will think it is a great idea

to have a salad before dinner (if they have the stuff). If you are at

friends houses and it is feasible, make yourself at home, even in

their refrigerator. Around our house, anyone who is a friend, helps

their selves to our refrigerator if they want something. Some will

not go into it but on the most part, when we say, if it is in there,

fix it, they do. Oh yeah, and places like Mcs and Burger King

have some really great salads, just watch the salad dressings closely

and don't forget to drink as much water as you need that you can get

your hands on.

I hope that some of this helps. I have not been around long and am

in no way an expert, in fact I just asked about some assistance

myself, but I just felt I had to try. I sincerly hope that everything

gets better for you and your family fast and you can get back on your

plan asap! Good luck!!

September 7, 2004

Hey! I didn't even get my 4 week photos developed... much less mailed out.

But remember... this is a lifestyle we're developing, and it goes beyond the

challenges. If your results are not what you had hoped, sign up for the next

challenge. But in the meantime, congratulate yourself for becoming stronger

and healthier!

; )

First: thank God you're alive and that your house didn't suffer a lot of

damage... because some people did have worse losses than we did. Then:

Cut yourself some slack for now... natural disasters suck! We just got our

power back on and have had to throw quite a bit of food away, too. That's

not a typical everyday occurrence. Lets just do the best we can and start

back as soon as we can. I'm thinking next Monday would be a good deadline

for me... but if I DO get to the gym before then, I'll be pleased as punch

with myself.

: )

(I almost went to the gym just to get a shower... but the cavalry arrived

today, and boy did that shower feel oh-so-good!)

~Lydia

" Life is not a journey to the grave with the intention of arriving safely in

a pretty and well preserved body, but rather to skid in sideways, thoroughly

used up, totally worn out, and loudly proclaiming 'Wow - what a Ride!' "

~~ Sage (entrepreneur and speaker)

HELP

Hi all. If you guys remember, I was going to take it easy with all

the stress about the storm coming our way. Well, our electricity has

been out since Sun afternoon and my eating has not been good. We had

to throw all our food in the fridge and freezer away and have been

eating at resaurants and over family's houses since Sun. It has just

been crazy and my mind has just not been on eating healthy. On top of

that, I haven't been keeping up with my exercising since Sun because

it is just too hot in our house. I am at my parent's house right

now.

I need some words of encouragment to stay on track. I had entered

the official competition and just mailed in my 4-week results when

all of this happened. I am worried that my 12-week results will not

be good now. I don't know when our power will be back on to even

stock up on all my foods again. Any advice?

September 13, 2004

> how do you talk to people that have this just been diagoned only 2

> friends know afraid to say anything to anybody seems like i cry

> everyday so scared dont know what to do id like to try and talk to

> some one about this not very good on computer could someone please

> give me some info id appriate it thank you Hi, My name is Jon, and

I've been infected for many years. I've had a transplant, and I'm

still infected. If there's any questions you may have or if you just

would like to talk, Please contact me. This disease is treatable, and

you can have a normal life with hepatitus. It does get tough, but

dont give in to fears, educate yourself and dont give up hope. Some

of us in this group have been full circle with this illness, we will

all try to help and support you as much as we can

Jon.

October 1, 2004

Bob,

We use CM for Service in Gresham, 503

666-0505. They are good but

sometimes slow.

Ravid Raphael, DC

Staff Clinician, WSCC

HELP

My sine/galvanic machine is dead and

need a repairman to fix. Who is good???????

DrBob

W.

Pfeiffer,D.C.;D,A.B.C.O.

P.

O. Box 606

Pendleton, Or.

97801

541. 276.2550

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removed.

March 3, 2005

Is she possibly pregnant?

Igleheart, MS, RD, LD Community Dietitian Southeastern Med 1341 Street Cambridge, OH 43725 740.439.8941

Help

I need some help. I have a patient approximately 31/2 weeks s/p RNY (open). This patient has been consuming mostly dairy sources of protein. She suddenly is having trouble with the children chewable vitamins and feeling like she has heartburn after eating. Smells are now starting to bother her as well. I encouraged her to increase her fluid which appears it is on the low side. Any thought or avenues to look at that I may have missed. Could dehydration cause this nausea and food aversion?

TIA

Gundermann RD, CDE

Manager of Clinical Nutrition Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

******* DISCLAIMER *******

This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. Finally, the recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by viruses transmitted by this email.

******* END DISCLAIMER *******

March 3, 2005

No, I am sorry I forgot to mention she is

67 years old.

Gundermann RD, CDE

Manager of Clinical Nutrition

Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

The information in this communication is

intended to be confidential to the individual(s) and/or entity to which it is

addressed. It may contain information of a Privileged or Confidential nature,

which is subject to Federal and/or State privacy regulations. In the

event that you are not the intended recipient or the agent of the intended recipient,

do not copy or use the information contained within this communication, or

allow it to be read, copied or utilized in any manner, by any other

person(s). Should this communication be received in error please notify

the sender immediately either by response email or by phone at 845-368-5016,

and permanently delete the original e-mail, attachments(s), and any copies.

Help

I need some help. I have a patient

approximately 31/2 weeks s/p RNY (open). This patient has been consuming

mostly dairy sources of protein. She suddenly is having trouble with the

children chewable vitamins and feeling like she has heartburn after

eating. Smells are now starting to bother her as well. I encouraged

her to increase her fluid which appears it is on the low side. Any

thought or avenues to look at that I may have missed. Could dehydration

cause this nausea and food aversion?

TIA

Gundermann RD, CDE

Manager of Clinical Nutrition

Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

******* DISCLAIMER *******

This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. Finally, the recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by viruses transmitted by this email.

******* END DISCLAIMER *******

March 3, 2005

We actually see nausea, taste changes & smell sensitivity in our patients quite a bit...some think it may be related to the anesthesia from surgery staying in the system (I heard from my doc it stays in fat cells for ~ 6 wks or so but I haven't researched that specifically). I believe the University of Nebraska Medical Center is currently doing a study on this phenomenon.

We put our patients on 30 days of a PPI & give them compazine PRN if they're having these troubles.

Kristyn Lassek

Omaha, NE"Gundermann, " <LGunderm@...> wrote:

No, I am sorry I forgot to mention she is 67 years old.

Gundermann RD, CDE

Manager of Clinical Nutrition Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

The information in this communication is intended to be confidential to the individual(s) and/or entity to which it is addressed. It may contain information of a Privileged or Confidential nature, which is subject to Federal and/or State privacy regulations. In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should this communication be received in error please notify the sender immediately either by response email or by phone at 845-368-5016, and permanently delete the original e-mail, attachments(s), and any copies.

Help

I need some help. I have a patient approximately 31/2 weeks s/p RNY (open). This patient has been consuming mostly dairy sources of protein. She suddenly is having trouble with the children chewable vitamins and feeling like she has heartburn after eating. Smells are now starting to bother her as well. I encouraged her to increase her fluid which appears it is on the low side. Any thought or avenues to look at that I may have missed. Could dehydration cause this nausea and food aversion?

TIA

Gundermann RD, CDE

Manager of Clinical Nutrition Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

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Celebrate 's 10th Birthday! Netrospective: 100 Moments of the Web

March 3, 2005

I do a little protein tasting seminar in the community. If you haven't tried them, it is a worthwhile experience. One of the issues is that the smell of the supplements is often overwhelming. It is easy to get burnout...I recommend sipping form a "closed" container system so that patients don't have to smell the protein with each sip. Sometimes patients would rather not drink than have to smell the protein. There are a lot of options for protein.

Sometimes when you have a bad experience (vomiting) you recall this when you smell the food --even if the food wasn't really the culprit. I personally can't handle "fish" smells because I had a bad experience during pregnancy 8 years ago! I would try a different MVI, perhaps consider the liquid children's or liquid centrum.

Hydration should be checked, at least do the orthostatic measures. Marginal ulcers can present similarly, though you didn't mention pain.

Also, sometimes if patients wait too long between meals, they get nausea when they finally do eat. Small frequent meals is important.

Hope this helps!

Jeanne Blankenship, MS RD

UC Medical Center

Sacramento, CA

--------- Help

I need some help. I have a patient approximately 31/2 weeks s/p RNY (open). This patient has been consuming mostly dairy sources of protein. She suddenly is having trouble with the children chewable vitamins and feeling like she has heartburn after eating. Smells are now starting to bother her as well. I encouraged her to increase her fluid which appears it is on the low side. Any thought or avenues to look at that I may have missed. Could dehydration cause this nausea and food aversion?

TIA

Gundermann RD, CDE

Manager of Clinical Nutrition Services

Good Samaritan Hospital

Bon Secours Charity Health System

(845) 368 - 5016

lgunderm@...

******* DISCLAIMER *******This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. Finally, the recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by viruses transmitted by this email.******* END DISCLAIMER *******

Celebrate 's 10th Birthday! Netrospective: 100 Moments of the Web

April 5, 2005

Are you looking for a psychological

evaluation or what type?

" lita0068 " <lita0068@...>

04/05/2005 09:45 AM

Please respond to

autism

To

autism

cc

Subject

HELP

I LIVE NEAR GRIFFIN WERE CAN I GET MY SON TESTED.HE WAS DX AT 3 WITH

PDDNOS. NOW HE IS 5 I WANT A SECOND OPINION.

April 14, 2005

Have fun Sharon,

It may be a thing she will grow out of - or she may get worse!

My friends daughter with DS - Joan has always been into kissing and Trent

was her boyfriend, and would phone him, have been seen cuddling and being

very amorous in a bean bag at school- I blame Joan 100% my darling son

could no way be involved at all! LOL.

Joan is now nearly 21 and all she talks about is her boyfriend and getting

married and is full on imagination. As she and Trent no longer go to the

same school she has dropped him - she tells everyone that her 'new'

boyfriend and her are engaged and everything she owns was bought by him and

phones him often much to his parents annoyance. Her mother now has the phone

locked from her predatory calling. At a recent party Joan re acquainted

herself with Trent, didn't take long and she and him were away from the

others inside watching tele, then they disappeared into another room, with

the door closed - fortunately innocent, as it was the room that housed the

playstation and music but I didn't know that. She flirts with all the

males - personally I would hate to be a male carer near her she could

innocently get you into trouble.

Another friends daughter Tamika, at around 13yo was always talking about

boyfriends and claimed she was going to marry one of her teachers. Tamika

has grown out of it.

As an outsider looking in, the differences between these two families are -

1. Joan's mother is in her mid 60's as has a large family ranging in age

from Joan 20 to her eldest in their 40's.

2. Tamika's mother is in her late 40's and has two other daughters one older

and one younger - so in this case I would assume the other two have put

Tamika into line about boyfriends.

Keep smiling

Jan, mother of Trent 20yo w/DS from the LandDowunder

April 14, 2005