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Dietitian in the house!

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  • danikacarty
    replied
    Ellie Very kind. Thank you for your respect of our profession. I almost didn’t remember how much we do until you summarised it all there for me x

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  • Ellie
    replied
    Originally posted by danikacarty View Post
    ... yea, that’s our MO as dietitians
    Don't undersell your role of a Dietitian danikacarty !

    There's a lot more to your day than telling people to put on weight which, incidentally, was never said to me. The focus from my Dietitian was maintaining weight, calculating optimum calorie and fluid intake, food type targets, food textures and consistencies and managing swallowing difficulties, progressing to recommending the most suitable enteral feed for me (and probably more) xx

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  • matthew55
    replied
    I wasn't having a pop as I know it's the job not the individual. 👍😀🤗💗xx

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  • danikacarty
    replied
    matthew55 yea, that’s our MO as dietitians I’m afraid. But you’re right, what muscle needs is adequate protein + stimulus (resistance / strength training) to rebuild so impossible for MND folk x

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  • Lynne K
    replied
    Sounds good Mathew x

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  • Lynne K
    replied
    Mary, thanks for that information. I’m glad that it’s done and dusted. Love Lynne x

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  • matthew55
    replied
    I have been seen by various dieticians and they are all the same. Put on weight. Well I get to 10ish Stone and there I stay. Nothing I take makes any difference. Feed cannot rebuild muscles. 😉🤗😁😍xx

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  • Mary C
    replied
    Lynne K
    Hi Lynne, I went in hospital to have PEG procedure but when the surgeon reached my stomach he came across polyps so abandoned the procedure.After an MRI I was able to have the tube inserted by RIG procedure.
    Best wishes
    Mary

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  • Deb
    replied
    Thank you for offering your expertise danikacarty . Its really kind of you xx

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  • Lynne K
    replied
    Thanks Daniela. I’ve wondered what the difference of a RIG and PEG was for ages. Now that I read your post and the replies to you I’m now clued up. You’ll be very helpful to all of us. Love Lynne x

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  • DeeH
    replied
    Thanks
    danikacarty

    and

    Ellie

    All good to know

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  • Ellie
    replied
    DeeH Just to add, Donna, that, if necessary, NIV can be worn during the RIG procedure. xx

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  • danikacarty
    replied
    DeeH

    PEG = percutaneous endoscopic gastrostomy
    RIG = radiologically inserted gastrostomy

    The main difference is the method of insertion - PEG they send a scope down the oesophagus to place the tube, and RIG they use an x-ray to guide insertion of the tube into the stomach.

    PEG requires ~30 mins of sedation and lying flat during this time. I forget the exact cut offs, but if your respiratory function is too low they cannot lie you flat in order to complete a PEG, therefore RIG is a more appropriate option.

    They are both tubes into the the stomach, and no need for difference in feeding regime (tailored to the patient). In terms of what type of tube they insert (balloon vs external traction), that’s up to what they stock at your NHS trust.

    Hope this helps!

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  • DeeH
    replied
    HI

    Thanks danikacarty

    Just thinking about this and how to discuss with husband. Eating okay with some coughing after.

    Weak neck muscles, which tilts his chin down (has neck brace, but not fond of it)

    My question (I was going to do an internet search)

    What is the difference between PEG (have some experience) and RIG, thanks?

    Kind regards

    Donna

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  • Ellie
    replied
    That's very kind of you Danika, thank you! xx

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