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[Dysphagia] RE: defining weight loss
- Subject: [Dysphagia] RE: defining weight loss
- From: Isabelle.Germain at vac-acc.gc.ca (Isabelle Germain)
- Date: Fri Mar 3 07:53:01 2006
Hello Phyllis!
An unintentional weight loss of 7,5% of UBW in 3 months, 5% of UBW in 1 month or 1 - 2% of UBW in 1 week could all be considered significant for adult male and nonpregnant women. You should consult your RD to properly assess the usual body weight (UBW). The UBW can also provide the level of malnutrition. The actual percentage weight change can be calculated afterward. On the other hand, weight gain will depend on the reason of change in weight (mainly dehydration? loss of fat or muscle mass?). The rate of weight gain will vary accordingly. Age and physical condition are key elements when considering weight changes.
I hope this was useful,
Isabelle Germain MSc RD
Isabelle Germain, MSc DtP
Service Di?t?tique, H?pital Ste-Anne
Dietary Services, Ste Anne's Hospital
305 Boul. Des Anciens Combattants
Qc, Canada, H9X 1Y9
Tel: (514) 457-3440 ext. 2501
Fax: (514) 457-8793
email/courriel: isabelle.germain@vac-acc.gc.ca
>>> dysphagia-request@b9.com 14:00:57 2 Mars, 2006 >>>
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Today's Topics:
1. Re: Use of e-stim for speech and swallowing disorders
(Drirenect@aol.com)
2. Re: Use of e-stim for speech and swallowing disorders
(Kevin Lambert)
3. Re: Use of e-stim for speech and swallowing disorders
(Kevin Lambert)
4. defining weight loss (Phyllis M. Palmer)
5. Advanced Topics in Laryngeal Stroboscopy -SAVE THE DATE
(BARBARA MESSING)
6. Voice Restoration Following Total Laryngectomy, March 17 and
18, 2006 (BARBARA MESSING)
7. RE: defining weight loss (Axt Holly)
----------------------------------------------------------------------
Message: 1
Date: Wed, 1 Mar 2006 16:13:31 EST
From: Drirenect@aol.com
Subject: Re: [Dysphagia] Use of e-stim for speech and swallowing
disorders
To: kevdlambert@comcast.net, Dysphagia@b9.com
Message-ID: <2eb.1ff94e7.3137687b@aol.com>
Content-Type: text/plain; charset="US-ASCII"
If you check the FDA letter you find that it is NOT approved for dysphagia -
it is approved because it is no different from other devices already on the
market. The letter is available on the FDA website.
------------------------------
Message: 2
Date: Wed, 1 Mar 2006 21:05:41 -0500
From: "Kevin Lambert" <kevdlambert@comcast.net>
Subject: Re: [Dysphagia] Use of e-stim for speech and swallowing
disorders
To: <dysphagia@b9.com>
Message-ID: <006601c63d9d$cf31e030$640fa8c0@kevin>
Content-Type: text/plain; charset="iso-8859-1"
The enclosure included with the letter to the FDA says:
Indications for Use: Muscle re-education by application of external stimulation to the muscles necessary for pharyngeal contractions. It is signed off by Mark N. Milkerson from the FDA Division of General, Restorative and Neurological Devices. Look at the last page labeled: "Concurrence of CDRH, Office of Device Evaluation (ODE)"
http://www.vitalstim.com/pdf/FDA%20510k%20clearance%20letter.pdf
----- Original Message -----
From: Drirenect@aol.com
To: kevdlambert@comcast.net ; Dysphagia@b9.com
Sent: Wednesday, March 01, 2006 4:13 PM
Subject: Re: [Dysphagia] Use of e-stim for speech and swallowing disorders
If you check the FDA letter you find that it is NOT approved for dysphagia - it is approved because it is no different from other devices already on the market. The letter is available on the FDA website.
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------------------------------
Message: 3
Date: Wed, 1 Mar 2006 21:11:58 -0500
From: "Kevin Lambert" <kevdlambert@comcast.net>
Subject: Re: [Dysphagia] Use of e-stim for speech and swallowing
disorders
To: <dysphagia@b9.com>
Message-ID: <000401c63d9e$afe056c0$640fa8c0@kevin>
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
reply-type=original
Correction:
The enclosure included with the letter FROM the FDA says...sorry.
------------------------------
Message: 4
Date: Wed, 1 Mar 2006 19:43:43 -0700 (MST)
From: "Phyllis M. Palmer" <ppalmer@medonline.com>
Subject: [Dysphagia] defining weight loss
To: dysphagia@b9.com
Message-ID: <Pine.LNX.4.62.0603011941150.14925@tiger.med-info.com>
Content-Type: TEXT/PLAIN; charset=US-ASCII; format=flowed
This questions may be more for the dietary/nutrition folks...Is there a
gold standard definition for weight gain or weight loss? If a patient
has a 6 lb weight loss in a year, is that considered within normal
fluctuation? I am unable to locate any formal definitions of weight
loss/gain. Any advice or thoughts?
Thanks.
Phyllis
__________________________________________________________
Phyllis M. Palmer, Ph.D. Speech Language Pathologist
University Of New Mexico
www.dysphagia.com
__________________________________________________________
------------------------------
Message: 5
Date: Wed, 01 Mar 2006 22:57:43 -0500
From: "BARBARA MESSING" <BMESSING@gbmc.org>
Subject: [Dysphagia] Advanced Topics in Laryngeal Stroboscopy -SAVE
THE DATE
To: <Dysphagia@b9.com>, <sid3voice@list.medicine.uiowa.edu>,
<asha.div13@lists.asha.org>, <msha@yahoogroups.com>
Message-ID: <440626E7020000F700002D4C@mail.gbmc.org>
Content-Type: text/plain; charset=US-ASCII
Advanced Topics in Laryngeal Stroboscopy
April 27-28, 2006
Location:
Greater Baltimore Medical Center, Milton J. Dance Head and Neck
Rehabilitation Center, Baltimore, Maryland.
About the Program:
This is a two-day program designed to educate otolaryngologists and
speech-language pathologists on advanced topics in laryngeal
stroboscopy. Topics include fundamentals of laryngeal imaging, advanced
interpretation including audience e-voting and panel discussions,
diagnosis and management challenges including surgical issues,
neurological disorders, and the professional voice, clinical challenges,
and reimbursement and coding issues. A special breakout session
available for hands-on experience for those new to both rigid and
flexible imaging.
Faculty:
Mark S. Courey MD, Professor, department of
Otolaryngology/Head and Neck Surgery, Director
Division of Laryngology, Medical Director UCSF Voice and Swallowing
Center.
Barbara Jacobson, Ph.D.
Assistant Professor, Department of Otolaryngology
The Vanderbilt Voice Center Department of Otolaryngology
Tom Cleveland, Ph.D.
Director, The Vanderbilt Voice Center, Associate Professor, Department
of Otolaryngology
The Vanderbilt Voice Center Department of Otolaryngology
Barbara P. Messing, M.A., CCC-SLP, BRS-S
Speech Pathology Manager, Voice Treatment Center, MJ Dance Head and
Neck Rehabilitation Center at the Greater Baltimore Medical Center
Melissa Walker, M.S., CCC-SLP
Senior Speech Pathologist, Voice Treatment Center, MJ Dance Head and
Neck Rehabilitation Center at the Greater Baltimore Medical Center
CMEs and ASHA CEUs will be provided.
For registration information at least content information call (443)
849-2087 or email: bmessing@gbmc.org or mwalker@gbmc.org
www.gbmc.org/voice
Barbara P. Messing, M.A., CCC-SLP, BRS-S
Board Recognized Specialist in Swallowing Disorders
Speech Pathology Manager
Clinical Specialist, Head and Neck Rehabilitation
MJ Dance Head and Neck Rehab Center
GBMC
Baltimore, Maryland 21204
443-849-2087
bmessing@gbmc.org
*********************************************************************************************
This email may contain confidential protected health information and/or proprietary information belonging to the sender that is legally privileged under local, state, or federal law. This information is intended only for the use of the individual or individuals who have received this. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you have received this email in error, please notify the sender immediately to arrange for the disposal of this information.
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<<<<GWAVAsig>>>>
------------------------------
Message: 6
Date: Wed, 01 Mar 2006 23:06:52 -0500
From: "BARBARA MESSING" <BMESSING@gbmc.org>
Subject: [Dysphagia] Voice Restoration Following Total Laryngectomy,
March 17 and 18, 2006
To: <Dysphagia@b9.com>, <sid3voice@list.medicine.uiowa.edu>,
<asha.div13@lists.asha.org>, <msha@yahoogroups.com>
Message-ID: <4406290C020000F700002D59@mail.gbmc.org>
Content-Type: text/plain; charset=US-ASCII
Voice Restoration Following Total Laryngectomy
March 17 18, 2006
Location: Greater Baltimore Medical Center, Milton J. Dance Head and
Neck Rehabilitation Center, Baltimore, Maryland
About the Program: This two day course is designed for the speech
language pathologist working with patients who have undergone a total
laryngectomy and tracheoesophageal puncture (TEP). The course focuses
exclusively on management of the TEP including InHealth and Provox
prostheses. Participants will have extensive hands on training with
models and patients.
ASHA CEUs provided.
For registration or content information call 443 849 2087.
For a brochure go to: www.gbmc.org/voice - upcoming conferences.
*********************************************************************************************
This email may contain confidential protected health information and/or proprietary information belonging to the sender that is legally privileged under local, state, or federal law. This information is intended only for the use of the individual or individuals who have received this. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you have received this email in error, please notify the sender immediately to arrange for the disposal of this information.
*********************************************************************************************
<<<<GWAVAsig>>>>
------------------------------
Message: 7
Date: Thu, 2 Mar 2006 10:07:27 -0500
From: Axt Holly <haxt@yorkcentral.on.ca>
Subject: RE: [Dysphagia] defining weight loss
To: "'Phyllis M. Palmer'" <ppalmer@medonline.com>, dysphagia@b9.com
Message-ID:
<AF5D994B07F8D24DA7FE20C38886DD7404F9A732@ychs2kexch.yorkcentral.local>
Content-Type: text/plain
When we assess weight loss we look at percentage of unintentional weight
loss.
10 % wt loss over 6 months is considered significant. 10%-20% or more over
an unlimited time is also significant.
More than this loss or if weight is lost over a shorter period of time it is
considered severe.
You may want to look at the Manual of Dietetics published by the American
Dietetic Association and Dietitian's of Canada.
Hope this is helpful
Holly Axt RD
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On Behalf
Of Phyllis M. Palmer
Sent: March 1, 2006 9:44 PM
To: dysphagia@b9.com
Subject: [Dysphagia] defining weight loss
This questions may be more for the dietary/nutrition folks...Is there a
gold standard definition for weight gain or weight loss? If a patient
has a 6 lb weight loss in a year, is that considered within normal
fluctuation? I am unable to locate any formal definitions of weight
loss/gain. Any advice or thoughts?
Thanks.
Phyllis
__________________________________________________________
Phyllis M. Palmer, Ph.D. Speech Language Pathologist
University Of New Mexico
www.dysphagia.com
__________________________________________________________
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
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End of Dysphagia Digest, Vol 28, Issue 2
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BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Germain, Isabelle (HSA)
ORG:;Di?tes
EMAIL;WORK;PREF;NGW:Isabelle.Germain@vac-acc.gc.ca
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END:VCARD
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