Trimarni Coaching and Nutrition

I was eager to finish my last day, of my second week, on the cancer unit and hoped for a great day. The first 3 days went rather smoothly and I expected another great day. Well, the day was great but it started off really busy. I prioritized my list of patients and noticed I had two assessments that needed to get done before my follow-ups. I spent a good chunk of the morning working on a pt with celiac disease/diverticulitis and another pt who had roux-en-y revision, after having gastric bypass surgery. While I am familiar with both conditions, the status of both patients left me overwhelmingly confused. First I couldn't read the handwriting of the Gastroenterologists so I was kinda stuck on the current status of my patients. Once I finally deciphered the handwriting, I then had to google the procedure done on each patient because I wanted to know what my patient had experienced and the reason behind the current status. Whereas much of my patients have similar procedures and tests,...

Have you said "I love you lately" or even "thank you" to the many important people in your life that have supported you, cared for you, encouraged you and have given you guidance in this thing called life? I am about to finish my 2nd week of my staff relief rotation, with only 2 more weeks to go. I am feeling very comfortable and confident with where I am right now and my intense 9 month internship (thus far) has prepared me very well for this last part of my rotation. Having said that, this is my last day on the Cancer unit, which I have been covering all by myself. Every patient is unique and special and I feel privileged that I have been able to assess and follow so many courageous and strong men and women. Not all of my patients have cancer but 99% of the patients that I have seen this week have been high risk, partly for the chief complaint of why he/she entered the hospital (ex. GI bleed, intense abdominal pain, hyperemesis/nausea, etc.). I have learned so muc...

One of the most beneficial aspects of my many years of higher education is learning how to differentiate fact from fiction. As a 4x Ironman athlete, I have learned to take research with a grain of salt when it comes to fueling for endurance events. With several years of experimentation, all while trying to keep up with current research, I have learned that my training needs may differ from the athletes around me and my environment is not controlled like it is in a scientific test. Because not every athlete is alike, I don't believe that there is one perfect diet out there that can be applied to every athlete. Sure, there are general guidelines that will encourage performance gains and weight loss/maintenance, but we all have different needs based on our training routine, body composition goals and lifestyle requirements. Because of that, we need to recognize our individual strengths and weakness when it comes to the diet and how we view the fuel that we put in our body. In my lat...

"To will is to select a goal, determine a course of action that will bring one to that goal, and then hold to that action till the goal is reached. The key is action." It was a great decision but a tough one. It was only a year and a half since graduating with my Masters in Exercise Physiology and 3 years since graduating with my bachelors in Exercise Science (and a minor in psychology). I found myself with a new passion and stuck in my career path. Understanding that Florida requires registration and a license when prescribing nutrition information, I decided to do the right thing and go back to school (at the age of 25) to pursue my third degree. Sometime near the end of 2007 I decided to go back to school to become a dietitian. Without fully understanding the necessary steps to receive those two letters behind my name, I started my journey on Jan 7th, 2008. This was my first official day of class a future RD. http://trimarni.blogspot.com/2008/01/back-to-school.html Fourte...