I work at a nonprofit outpatient setting as the only RD. 95% of my patients are kind and enjoyable to talk to. I’ve built several great relationships with some patients that may come and go as they need me. Every once in a while I do get that type of patient that is deep into the wellness space of anti seed oils/supplements galore, etc. I understand to tread carefully with their belief systems. Today I had a 45F seeking weight loss and grilling me on if I understood autophagy as it relates to intermittent fasting. I was honest and said I don’t, I’m unfamiliar and I don’t often work with many patients who do IF (also I find it often unsustainable for majority of ppl when it’s extreme). I explained I typically take other approaches to weight loss and a lot of my patient visits involve also managing chronic conditions. She looked at me like I was an idiot and said I should really look into this. I said I would and we moved on and the session got better, but I feel like she thought I was an idiot in that moment.

Anyone else relate to experiences like this? I’m sensitive so it really bothered me but I’ll get over it. Thanks for letting me rant!

This is more of a rant. I'm a supervisory dietitian in a hospital kitchen so I don't do clinical anymore, I pretty much run food service. Anyways, we've had this problem patient for several weeks and everyone can't wait for him to leave. He screams at nurses cause he didn't like how they closed his door, he demands special treatment cause he says he's friend's with the hospital director but I think that's bullshit. From our end, for some reason, my boss has been allowing him to order food from the cafe. They even got him a bottle of Morton's fine sea salt, for the second time apparently.

This shit pisses me off so much. It makes everyone's job harder when people refuse to say no to unreasonable demands. No one seems to have confirmed that the director is okay with this or even knows about. Our director is a friendly and personable guy, he knows a lot of people. But this isn't a luxury hotel that offers curated experiences. This is a hospital, and Fiji water is not a medical necessity.

Interesting to see some chatter within N that they are piloting offering in-office appointments with RDs in Portland OR. What do you think about it?

Hi there, I’ve been a practicing RD for 9 years and I’ve been struggling with the “what next” feeling for probably 6 of them. I feel stuck between decisions of going back to school for something else (PA or PT) or finding the spark again with a master’s or something else. I feel frustrated at what feels like a glass ceiling with pay and limited options.
My current role is a flexible schedule which I do really enjoy but I feel restless and burnt out nonetheless.

Any advice would be helpful or other experiences on paths forward. TIA

where's a good website i can get nutrition handouts and infographics to give to patients? it can be anything related to cooking, texture, conditions, anything that may be helpful!

Our hospital just switched from PowerChart to Epic ! Any of you with Epic experience please share your tips and tricks! If you don't have a PES statement , do you not have a care plan? Dx malnutrition do you always have to have an illness if acute/chronic??

Thank you!!!

I’m hoping to be able to find other revenue streams that don’t involve one on one counseling, but feel unsure what the right direction is for me. I’ve thought about making CEUs, doing groups, and selling educational materials but none of that truly speaks to me right now.

I’m wondering if any other RDs have multiple streams of revenue and if you have any ideas/tips.

Also curious if any other disabled RDs have ideas on how to maintain revenue when you can’t handle too big of a caseload.

I’m a new RD (since March) and I work in a hospital setting. Soon I’ll have to have my critical care training with the units and I’m nervous since I haven’t done any real critical care outside of a couple weeks in my internship almost a year ago.

Does anyone have any good resources/recommendations/advice relating to critical care that I could look into?

I know about ASPEN and the Academy. I’m a very protocol, set rules, kind of learner so any thing of that nature would be greatly appreciated. Looking forward to your responses!