Guest guest Posted September 28, 2004 Report Share Posted September 28, 2004 I have the MedGem and use it with a lot of pts besides just WLS. I think it is useful to take it before surgery as a baseline then when the patient starts to have more difficulty losing or hits plateaus it can be helpful. It can motivate them to exercise to avoid as severe a drop in RMR as they would have without the exercise. It can be used to adjust intake upwards, if needed to avoid too rapid of a weight loss. The technology is based on the metabolic cart which is mainly use in ICU under severe stress so I don't see why it would not be accurate under these conditions. It is very easy to use. Bev MedGem Does anyone use MedGem in their office regularly? I was looking into purchasing this tool for use at the patient's initial nutrition consult and for possible follow up evaluations or if the patient is rehospitalized with a complication. Do you know if this tool is effective in determining if lack of weight loss is due to the patient not getting enough calories? My concern is that the MedGem result would be inaccurate if the patient was in fact in a starvation mode. I am also wondering if the data would not be reliable if done too soon after surgery while the patient is in a rapid weight loss period. Does anyone have any experience with this tool? If so, what do you think of it? When is it most helpful to you, if at all? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2004 Report Share Posted September 28, 2004 Please send me your responses! We are looking into the same thing! Thanks so much Kella Arwood, MS,RD, LDN Clinical Dietitian East Tennessee Children's Hospital 2018 Clinch Avenue PO Box 15010 Knoxville, TN 37901 865-541-8659 karwood@... MedGem Does anyone use MedGem in their office regularly? I was looking into purchasing this tool for use at the patient's initial nutrition consult and for possible follow up evaluations or if the patient is rehospitalized with a complication. Do you know if this tool is effective in determining if lack of weight loss is due to the patient not getting enough calories? My concern is that the MedGem result would be inaccurate if the patient was in fact in a starvation mode. I am also wondering if the data would not be reliable if done too soon after surgery while the patient is in a rapid weight loss period. Does anyone have any experience with this tool? If so, what do you think of it? When is it most helpful to you, if at all? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
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