Interview: Family Farmer

Hi guys! Today I am discussing bariatric surgery. I cover the criteria for the surgery, the five types of surgery, the benefits and risks, the pre-surgical nutrition eval, nutritional impacts, the nutritional and medical management post-op, dumping syndrome, and the long-term nutrition and medical management. I end this episode with an example of an ADIME note for this particular patient as well. I loved covering this topic and I really recommend further research if you find this interesting!  (The references are in APA format for this episode)  References:  Afthinos, J.N., Gibbs, K.E., Matharoo, G.S., Renick, E., Straker, T. (2014). Preoperative Evaluation of Bariatric Surgery Patients. In Essential and Controversies in Bariatric Surgery. Accessed June 14, 2021. DOI: 10.5772/58605. Akmal, Y., Arousy, H.E., Benotti, P.N., Dancea, H., Gerhard, G.S., King, H. et al (2009). Peroperative weight loss before bariatric surgery. Archive Surgery, 144(12), 1150-1155. Accessed June 14, 2021. DOI: 10.1001/archsurg.2009.209. Angrisani, L., Avola, C.K., Capaldo, B., Lembo, E., Lupoli, R., Saldalamacchia, G. (2017) Bariatric surgery and long-term nutritional issues. World Journal of Diabetes, 8(11), 464-474. Accessed June 14, 2021. DOI: 10.4239/wjd.v8.i11.464. Bariatric Surgery Procedures.(n.d.). American Society for Metabolic and Bariatric Surgery. Retrieved June 14, 2021, from: https://asmbs.org/patients/bariatric-surgery-procedures. Benefits of Bariatric Surgery. (n.d.). MidMichigan Health. Retrieved June 14, 2021, from https://www.midmichigan.org/conditions-treatments/bariatric/benefits-risks/. Carlsson, L.M., Kanerva, N., Larsson, I., Lindroos, A.K., Peltonen, M. (2017). Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcome: findings from the Swedish Obese Subjects (SOS) study. The American Journal of Clinical Nutrition, 106(1), 136-145. Accessed June 14, 2021. DOI: 10.3945/ajcn.116.149112. Dietary Guidelines After Bariatric Surgery. (n.d.). UCSF Health. Retrieved June 14, 2021 from https://www.ucsfhealth.org/education/dietary-guidelines-after-bariatric-surgery#:~:text=Recommended%20Meal%20Plan%20for%20Two,(lean%20and%20low%2Dfat). Dooley, J. (n.d.) Medical management of the bariatric surgery patient [PowerPoint Slides]. Internal Medicine Department, University of Tennessee. https://www.acponline.org/system/files/documents/about_acp/chapters/tn/dooley.pdf. Johns Hopkins Medicine. (n.d.) Nutrition Guidelines for Weight Loss Surgery. Retrieved June 14, 2021 from: https://www.hopkinsmedicine.org/bariatrics/_documents/nutrition-guidelines-for-weight-loss-surgery.pdf. Life After Bariatric Surgery. (2021). American Society for Metabolic and Bariatric Surgery. Retrieved June 14, 2021 from https://asmbs.org/patients/life-after-bariatric-surgery#b4. Who is a Candidate for Bariatric Surgery?(n.d.). American Society for Metabolic and Bariatric Surgery. Retrieved June 14, 2021, from https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery.

Hey guys! Today I cover disorders of the lower GI tract including constipation, diarrhea, lactose intolerance, celiac disease, Chron's disease, ulcerative colitis, inflammatory bowel disease, irritable bowel syndrome, and a few other topics. I apologize if the episode seems a little disordered, I just got back from vacation so I am not fully here yet. But please enjoy the episode and I hope you learn something!  References:  Mahan LK, Raymond JL. Krause's Food & The Nutrition Care Process. 14th Ed. St. Louis, MO; Elsevier: 2017. 

Hey guys! Today I had the pleasure of interviewing one of my best friends! Aaron and his family are located in my hometown, owning a small family farm growing row crops such as corn, soybeans, and tobacco. Today we discuss his opinions and experiences with GMOs, product labeling, sustainability, changes in farming practices, and the potentials for the farming market in the future. I learned so much from this interview that I was not expected and hope you do as well!!!

Hey guys! Today I am briefly covering the pathophysiology and medical nutrition therapy for some upper GI disorders. The disorders covered include cleft palate and lip, GERD, Barrett's esophagus, peptic ulcers, dumping syndrome, gastroparesis, and some cancers. This is a very brief covering of these disorders and should really just be used to familiarize yourself! This episode is a great headway into bariatric surgery, which we will be covering in the next student session episode!  References:  1. Hubert R, VanMeter K. Gould’s Pathophysiology for the Health Professionals. 6th edition. St. Louis, MO; Elsevier. 2018. 2. Mahan LK, Raymond JL. Krause's Food & the Nutrition Care Process. 14th ed. St. Louis, MO; Elsevier. 2017. 

Welcome back!! Today I cover the recommendations for athletes as well as those who regularly participate in physical activity. I am so glad to be back and I plan to put out new episodes every Wednesday from here on out.  Follow me on insta at making_a_dietitian. DM me with episode recommendations and any questions!  Athletes plate: https://swell.uccs.edu/theathletesplate Reverse dieting podcasts: https://open.spotify.com/episode/7DBzln7zPmN5CacYUqcFnE?si=9d3dpt1TRo69Eg6Sv_9RnA&dl_branch=1 Bulking and cutting podcast: https://open.spotify.com/episode/5nePaxXsbKpVX3ujMMmvcv?si=uXnWjST_SKOosIPxJqX3Ww&dl_branch=1

Today I discuss the pathophysiology and the medical nutrition therapy associated with neoplasms and tumors. Unfortunately, once cancer has formed, we as dietitians cannot do much in terms of reversing the disease, but we are helpful in the treatment of symptoms of cancer and cancer treatment.  The new Instagram for this podcast is making_a_dietitian and I will use it to post diagrams and graphics that help to visualize what I talk about in the episodes. I will also use it to talk with listeners and take recommendations for episodes!  Sources:  1. Hubert R, VanMeter K. Gould’s Pathophysiology for the Health Professions. 6th Ed. St. Louis, Missouri: Elsevier; 2018. 2. Mahan LK, Raymond JL. Krause's Food & Nutrition Care Process. 14th Ed. St. Louis, Missouri: Elsevier; 2017. 

Today I will be discussing another introductory topic that is pretty necessary before diving into specific pathophysiology topics and conditions. We will be covering the three I's or inflammation, infection, and immunity. This is again a very introductory episode so I am not going into crazy detail on any topic, but it is good surface-level info! Learn why your skin gets hot and gross when you have a splinter, or why blood-typing matters in terms of infusions!  Sources 1. Hubert RJ, VanMeter KC. Gould's Pathophysiology for the Health Professional. 6th Ed. St. Louis, MO: Elsevier. 2017.  Burn Graphic: https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=hw262650

Today we will be covering the importance of fluid in the body and how the electrolyte you consume can affect your health. This is kind of an introduction to pathophysiology, but you will also be coving these topics in your physiology class. This is a very important topic to discuss before going into the diseases that are talked about in pathophysiology because a lot of what is discussed here is related to how the body is going to function and balance electrolytes in disease-states. Afterward, I will cover acid-base imbalances on a surface level understanding, just as an introduction. I really encourage you to look up the pathways in your own time to get a better understanding of how the body compensates for a pH imbalance!  Sources:  1. Hubert RJ, VanMeter KC. Gould's Pathophysiology for the Health Professions. 6th ed. St. Louis, MO; Elsevier. 2018. 

Today I discuss how your diet may affect your mental health! First, we cover the importance of your macros and micros in terms of mental health, then go into how your gut microbiome may affect your mental health. I finish with covering anxiety, bipolar disorder, depression, and schizophrenia in terms of medical treatment and medical nutrition therapy. Please contact your doctor if you believe you are suffering from any mental illnesses! TW: suicide.  Sources:  Angelino D, Caraci F, Castellano S, et al. Diet and mental health: Review of the recent updates on molecular mechanisms. Antioxidants. 2020;9(346): 1-13. DOI: 10.3390/antiox9040346 Foster JA, McVey Neufeld KA. Gut-brain axis: How the microbiome influences anxiety and depression. Trends in Neuro. 2013;36(5): 305-312. DOI: 10.1016/j.tins.2013.01.005 Mahan LK, Raymond JL. Krause's Food & The Nutrition Care Process. 14th ed. St. Louis, MO, Elsevier. Published 2017. Pharmavite. Pharmacist.com. Common Drug Classes, Drug-Nutrient Depletions, & Drug-Nutrient Interactions. https://www.pharmacist.com/site/default/files/files/RN126418%20PID13500%20PHV%20Common%20D

Sorry for the delay, I have been home home for the week! But today we discuss adult and older adult nutrition starting at the age of 21 and going until death. We discuss the important body changes and some recommendations. This episode is relatively short and to the point, but full of good information concerning your health!  Sources:  1. Judith E. Brown. Nutrition Through the Lifecycle. 6th ed. Boston, MA: Cengage Learning; 2017. Energy Needs Estimation Equations:  Mifflin-St. Jeor Equation:  Men: (10 × weight in kg) + (6.25 × height in cm) - (5 × age in years) + 5. Women: (10 × weight in kg) + (6.25 × height in cm) - (5 × age in years) - 161. Multiply that value with the following activity factor:  Sedentary: 1.2 Lightly active: 1.375 Moderately active: 1.55 Very active: 1.725 Extra active: 1.9