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Momof3littles

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Posts posted by Momof3littles

  1. Up fats (avocados, avocado and coconut oil, some nuts) and protein to ease the transition.  I personally think it is best to recalibrate by eating really clean for at least 2-4 weeks.  I've eaten very low sugar, lower carb, heavy paleo influence for most of the last decade thanks to PCOS.  I do use stevia here and there, I will bake using almond and coconut flour, etc.  BUT I think it is best to back off as much as possible and then reintroduce later. I just think breaking the habit and readjusting your taste buds is really important.

     

    Smoothies are great for a sweet tooth.  Fruit, unsweetened yogurt (can you do a coconut milk yogurt with little or no sugar?), unsweetened almond milk, sprinkle of stevia if you must. We use lower sugar fruits like berries.  Kid friendly. 

     

    If you feel you really need to bake, or just want to know there are options, this is my favorite low sugar site for baking: http://alldayidreamaboutfood.com/  but I would encourage you to pare back for a few weeks initially to let your taste buds readjust.

     

    Natural-y stuff is tough to define.  I personally feel fructose (agave, high sugar fruits, honey, etc.)impacts me negatively.  So I bake, just not that often, and use erythritol and stevia.  I don't find they impact my insulin levels adversely, and as a result, for me they are the best option.  I don't think any sweetener is ideal, really, including the more natural high fructose options. 

     

    Yes, hidden sugar is in an enormous # of foods, and that's not counting all of the obvious sugars we are bombarded with.

     

     

  2. Yes, file a notarized affidavit and hand in objectives, medical or medical/immunization exemptions .  The earlier you file this summer, the earlier you can count days if that matters to you.

  3. So the examples I mentioned are not small potatoes? They both happened this weekend.

     

    I am being made to feel like I am making a mountain out of a molehill by this person.

     

    No, especially if it was not just this weekend that you've observed memory issues.  I've seen people get dehydrated and have bad confusion, for example, but it sounds like things are getting worse or there's an uptick?  I would be concerned for sure in a 45 yo.

  4. If you can volunteer or job shadow anywhere, absolutely do that.  I'm not a nurse but a physical therapist turned SAHM.  My program required a good number of observation hrs before we could apply.  I also think it is very valuable to consider shadowing or talking over lunch with other medical personnel.  Even if those jobs don't appeal to you, it will prepare you for the roles they play on medical teams, and you may find something less known than nursing that is a good niche for you (edited to add that that doesn't mean nursing isn't a great choice, I just mean many people don't know as much about some of the allied health fields, for example, and they sometimes appeal more, sometimes less).  PT or PTA, OT or COTA, SLP, med tech, what have you.  I also encourage the young people I know who are interested  in healthcare to observe in as many settings as possible.  Day to day job duties in different settings vary SO much.  Outpatient, hospitals, rehabs, mental health clinics, pediatrics...there are so many areas of practice.  I really think it is tremendously valuable.  Understand how hrs vary in different settings, the physical demands of different settings, the emotional demands of different settings, documentation, billing, etc. in different settings.  Talk to people in the field as much as you can, offer to pay for lunch, see if you can work in some observation and volunteer work.

  5. I would see a neurologist in that case, and encourage you to find a new PCP.  A 45 yo with memory issues should concern any competent physician enough that you get referred out for a consult. Especially at that age, and especially with a family history. That's valuable time that the person could have been on meds and so forth.

  6. I have had various lists over the years with examples but I always lose them . Lol. Not to make light but yes I am going to be more diligent in documenting.

     

    So this has been progressing over years?  Make sure that the people you call know that, as that helps out diagnostically.  If you can remember any of the "old" events, write them down if you can recall.  if not, just make sure they know this has been going on for a while. 

  7. "Just questions" meaning the doctor asks if has trouble remembering things, with maybe a few examples and he says no. End of test.

     

    That's why IMO you need to talk to the MD before going, and if they aren't referring you for more specific testing and screening, find a new doctor, start calling specialists (like a geriatrician if appropriate for the person's age), consider neurology, whatever . But don't drop it because this MD isn't doing targeted testing and will brush you off.  If you make very clear something is going on, a competent doctor is going to do (or refer out) for more appropriate screening and testing.  When I interned in a hospital, as PTs we often screened quickly as part of our evaluation for basic memory issues (the date, current president, that type of thing).  IMO no excuse for an MD to brush off entirely and do such an easily "cheated" screening,  and not refer out or do more targeted testing, especially once you alert them to your concerns, and the length of time, progression of illness, etc.

  8. I should add my concern is also that you and others may assume this is the onset of Alzheimer's, but there are other serious medical causes that are more treatable.  A slow bleeding subdural hematoma, a tumor, all kinds of things.  I don't know this person's age, but I would feel a sense of urgency in getting them treated.  Call the MD back again and then move onto someone else as a PCP (this should not be brushed off, really, by a competent physician IMO) try to talk the person involved into an ER visit if you must, take time to document what you are seeing but make those calls first.

     

    Document any head injuries, falls, work injuries, how long symptoms have been going on.

  9. I'm not sure what you mean about memory tests being "just questions."  There are tests that would be difficult to "fake" one's way through. 

     

    Is the main issue right now short term memory?  Any flags for long term memory?  Think about that while documenting.

     

    If you aren't happy with your doctor's care, ask for a referral to a geriatrician if we are talking about someone older. I'd also switch PCPs in the meantime to get the person in to see *someone* ASAP.

    http://health.usnews.com/doctors/location-index/geriatricians

     

    I'd even consider ER if you gain their cooperation or be crafty.

     

     

  10. I don't think it's that serious, yet. This person is still holding down their job/ providing for their family and doesn't see a problem. Admitting to memory issues is never going to happen.

     

    I don't know, I actually think it is really quite serious.  I worked as a physical therapist pre-kids, and would consider what you are describing in a family member highly concerning.  I don't know the age of the person involved, but what you describe is most definitely concerning enough for an immediate phone call to the physician and I would most definitely consider doing whatever necessary to get the person examined and treated. 

     

    They could burn the house down, it could be something like a medication issue, it could be something treatable and you are losing time, it could be the onset of a chronic condition.  If you wait, you lose time.  I would not wait.

     

    edited to add: they could impact someone else at work, on the road, etc. and you could be looking at a lawsuit.  I would take some action.

  11. I have heard it can be very difficult to win a suit in these situations, but you obviously should consult an attorney.  It scares me because I know how few people disclose these things :/ and I dread worrying about it when/if we buy another home.

  12. Call the person's MD if you can.  They won't say much to you regarding the patient but may be able to direct you to resources.  Before you call, I would write down when you recall the onset, was it gradual or sudden, how long has it been going on, and a few incidents. I would actually write down all of the incidents you can recall, but let the doctor know some of the most concerning ones and that there have been more.  Write down any medications, write down the family history, any concerns about substance abuse, that type of thing. That info compiled into one picture also help in medical professionals knowing what the areas of concern are, and it may help them choose more appropriate diagnostic examinations that are sensitive to the areas of concern. Having a journal of sorts will be helpful to other professionals, both medical and legal IMO.  I would not wait for a regularly scheduled appt. and would call the person's MD now. Continue to journal incidents you are seeing, any other concerns that start popping up, etc.

     

    You may need to pursue it legally, but I would do so for a family member if they were not agreeable to seeing a doctor.  I would call adult protective services after you call the MD.

  13. I would get the ball rolling on a consult with neuropsych or developmental ped. Those appts can be pricey and long wait lists are common. There could be a host of possibilities for the food stuff: sensory, low oral muscle tone, poor oral motor coordination, etc. An OT can likely help with several of your concerns and it would bridge the gap until he gets a full eval with neuropsych or developmental ped. OT may help direct you to other svcs as needed. I would definitely want dc to see neuropsych or a developmental ped with what you describe with restricted interests, possible sensory or feeding isdues, etc. Otherwise I think it is likely that you may end up going in circles, which in the end can cost more and be less effective.

  14. My middle child has the 85% natural latex they once carried. For my youngest we bought latex via sleepez for about the same price, and it is all natural latex vs a blend. I am happy with our ikea but if buying again would do sleepez. DH and I sleep on a more expensive latex mattress. Had I known about sleepez at the time I would have considered that option.

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