Holly MJ

Thought I'd best retreat as its about me!!

@Cambridge_Uni @KensingtonRoyal @IMS_MRL @HGSupportUK @MartinMJ22

7 in 10 women will experience sickness during pregnancy, like the Princess of Wales @KensingtonRoyal did. Some will be so ill they're hospitalised. Scientists @IMS_MRL have worked out why – and the discovery could help develop future treatments 👇 @HGSupportUK

I love this man

The most unexpected feeling about leaving the hospital with my newborn was not the wild mixture of exhaustion & love- but rather the overwhelming sense of the fleetingness of life and my own mortality.

@ConsultaDiet Awesome achievement! I'm hoping to submit mine this year too. Really interesting topic area, would love to read if possible

Very proud to have finally submitted my MSc. Dietetics research project after an incredibly tough 2 years! 🦾📚✅ Pass me a beer.

I think the majority of the North Walian population are intrigued and a bit excited about the #WelcometoWrexham docuseries. Absolutely amazing to have our area highlighted like this though @VancityReynolds @RMcElhenney

@benshapiro Can I ask a genuine question as a Brit who just doesn't understand? Why do so many people in the US want to own a gun? Never have I ever wanted to have one and I'm wondering is it culture, fear or something else entirely? I'm not trying to be annoying but just want to understand

When anyone suggests measures designed to prevent school shootings that AREN'T large-scale gun control, the media mock them. Even if those measures would be far more effective and achievable than Democrats' largely-unspecified policies. Which means this is all posturing.

@buitengebieden_ @MartinMJ22

This week, I pushed myself further professionally than I ever thought possible. I got through it all, got some fab productive feedback generally and I think I understand myself a bit better as a result 😊

@dr_sam_sharpe @amyhallSPeED @LonsdaleAmanda @patrickajr1 @BetsiCadwaladr @nestamccluskey @NathanCrimes @GarethE79654786 @EvansonCarole @AlbertoSalmoir1 So ridiculously sad for everyone 😞

I am sharing this with a very heavy heart. A memory came up on Facebook from Eating Disorder Awareness Week two years ago. Hannah, one of our Service User Consultants and an extraordinary human being took her life a year later. 😢😢😢…..see next comment

@amyhallSPeED @NathanCrimes @bcuhb_camhs @jessicajanejone Massive congratulations Amy! I loved working with you on the engagement stuff so so nice to see you doing so well! Go smash it 😘 xx

@AlisonGreenRD1 @StGDietitians @Sherrybeck_10 @Stottg I was reading a few tweets about this yesterday. I don't suppose you would kindly share the article or the tool? I just can't seem to find it anywhere and know it could be useful for my team. I'd appreciate any help

This is work by our very own @Sherrybeck_10 and Claire Ferneyhough with @Stottg .. all very exciting indeed! We are in the process of integrating this in to our digital system so our stats are more meaningful @StGDietitians

I'm an NHS dietitian. In typical headgear from the 2020/21 #ICU collection, and current 2021/22 style. I'm vaxxed x3 because witnessing the vagaries of severe #COVID19 for the past 22 months in 100's of #ICU patients up close has been, frankly, terribly sad. Just #GetVaccinated

Just a reminder that if you're prescribing Pabrinex I+II, Parentrovite or B co-strong for your patient with or without a macrocytosis, check B12 and folate levels and supplement accordingly. None of these B group vitamin supplements contain B12 or folate. Major oversight

@daisyrichens @Carys06 @ICUnutrition No feathers ruffled at all. I absolutely love a discussion and have the utmost respect for any acute healthcare professional. SLTs are also some of my fave people. Always feel you can ask questions, I really love and admire that x

@HollyMondayJon1 @Carys06 @ICUnutrition Thanks for your input, and sorry if my imperfectly worded questions have ruffled any feathers! I have the utmost respect for my dietetic colleagues’ expertise and I’m just trying to further my own basic understanding ☺️

NG feeding does not suppress appetite.. I repeat 📢 NG FEEDING DOES NOT SUPPRESS APPETITE. Please stop removing feeding tubes when nutritional intake is suboptimal. We need to make sure nutritional intake is optimal to aid with rehabilitation and recovery @ICUnutrition #SOA21

@daisyrichens @Carys06 @ICUnutrition I'd generally suggest all SLTs and dietitians in a department know each other really well so communication is tip top and issues can be dealt with quickly. I find reliance on others to portray messages sometimes leads to issues.

@HollyMondayJon1 @Carys06 @ICUnutrition Of course, and I hope it doesn’t seem as though I’d make any decisions re nutrition myself! My initial q was whether me suggesting that *medics/nurses liaise with dietetics* re altering NG feed with a view to stimulating appetite was a misguided one (which is evidently the case)!

@daisyrichens @Carys06 @ICUnutrition Sometimes I do trial a reduction in feed when other things have been ruled out. I'm really quick to review though after decisions like that to make sure I can bump it back up if it doesn't go to plan. It can be sensible in some cases though so do keep liaising with us 👍

@HollyMondayJon1 @Carys06 @ICUnutrition And my subsequent questions were curiosity re what else would/could be done *at the recommendation of dietitians* (tho I’ll admit that wasn’t clear). Would never dream of NOT referring to/liaising with dietitians, just want to make sure I’ve not got a totally wrong understanding!

@daisyrichens @Carys06 @ICUnutrition I think non DTs recommend these things because they're generally aren't enough DTs, especially in critical care and acute settings. For reassurance you aren't necessarily wrong to think these things but ref to DTs would ensure safe changes that could be more easily monitored 🙂

@daisyrichens @Carys06 @ICUnutrition Sorry to jump on this but I found this really interesting. For me, it comes down to scope. I personally work really closely with SLT but I would always refer any swallowing issues to them not make recommendations myself if that makes sense.

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