Outpatient Counseling Today

Today I got to sit in on an outpatient counseling session with one of the dietitians that I haven't really had a chance to work with yet.  She was seeing a man who just recently had part of his tongue removed due to cancer and is now getting nutrition via a PEG.  Over the last month he has lost almost 25 pounds and has been getting really bad reflux.  On top of all of that he can barely speak.  I was really impressed with Kathy's ability to interact with him and get the information she needed with the help of his daughter who was also there. In just a few minutes she worked up a new plan for him and gave him a few options as to how to obtain the TF formulas for the cheapest price.  She suggested first trying a more concentrated formula and also more frequent smaller feedings.  We are going to follow up with him in a few weeks so hopefully he shows some improvement.  It was definitely a very interesting session to have the opportunity to see.