{"version":"1.0.0","segments":[{"speaker":"Mike Patterson","startTime":0.0,"endTime":0.78,"body":"When you look at"},{"speaker":"Mike Patterson","startTime":0.81,"endTime":2.91,"body":"evidence based practice is sort"},{"speaker":"Mike Patterson","startTime":2.91,"endTime":4.65,"body":"of looking at the evidence base"},{"speaker":"Mike Patterson","startTime":4.68,"endTime":7.26,"body":"clinical experience, and also"},{"speaker":"Mike Patterson","startTime":7.35,"endTime":9.0,"body":"the patient's perspective"},{"speaker":"Mike Patterson","startTime":9.0,"endTime":9.93,"body":"because you might have the best"},{"speaker":"Mike Patterson","startTime":9.93,"endTime":11.04,"body":"evidence base in the world for"},{"speaker":"Mike Patterson","startTime":11.04,"endTime":12.27,"body":"something. And you might have"},{"speaker":"Mike Patterson","startTime":12.27,"endTime":13.5,"body":"the best clinical experience."},{"speaker":"Mike Patterson","startTime":13.5,"endTime":14.55,"body":"But if the patient doesn't want"},{"speaker":"Mike Patterson","startTime":14.55,"endTime":16.95,"body":"to do also, if it's not suitable"},{"speaker":"Mike Patterson","startTime":16.95,"endTime":18.15,"body":"to the patient, it's not going"},{"speaker":"Mike Patterson","startTime":18.15,"endTime":19.14,"body":"to be correct. Anyway."},{"speaker":"Aaron Boysen","startTime":21.39,"endTime":22.56,"body":"Welcome to the"},{"speaker":"Aaron Boysen","startTime":22.56,"endTime":24.99,"body":"dietetics digest podcast, a"},{"speaker":"Aaron Boysen","startTime":24.99,"endTime":25.92,"body":"podcast that helps you"},{"speaker":"Aaron Boysen","startTime":25.92,"endTime":27.09,"body":"understand more about the"},{"speaker":"Aaron Boysen","startTime":27.09,"endTime":28.83,"body":"different areas of dietetics and"},{"speaker":"Aaron Boysen","startTime":28.83,"endTime":30.63,"body":"nutrition and what others are"},{"speaker":"Aaron Boysen","startTime":30.63,"endTime":33.12,"body":"doing within them. We do this by"},{"speaker":"Aaron Boysen","startTime":33.12,"endTime":34.56,"body":"talking to inspiring and"},{"speaker":"Aaron Boysen","startTime":34.56,"endTime":36.51,"body":"influential individuals that are"},{"speaker":"Aaron Boysen","startTime":36.51,"endTime":38.19,"body":"advancing practice in some way,"},{"speaker":"Aaron Boysen","startTime":38.19,"endTime":40.44,"body":"shape and form. Our mission is"},{"speaker":"Aaron Boysen","startTime":40.44,"endTime":41.85,"body":"to create a resource that helps"},{"speaker":"Aaron Boysen","startTime":41.85,"endTime":44.16,"body":"dieticians to build, grow and"},{"speaker":"Aaron Boysen","startTime":44.16,"endTime":46.02,"body":"share ideas with each other to"},{"speaker":"Aaron Boysen","startTime":46.02,"endTime":48.21,"body":"help advance their practice and"},{"speaker":"Aaron Boysen","startTime":48.21,"endTime":49.92,"body":"the practice of others. I am"},{"speaker":"Aaron Boysen","startTime":49.92,"endTime":52.2,"body":"your host, Aaron Boysen. Hello,"},{"speaker":"Aaron Boysen","startTime":52.2,"endTime":54.42,"body":"Michael Patterson. And thank you"},{"speaker":"Aaron Boysen","startTime":54.42,"endTime":55.83,"body":"for joining us today on"},{"speaker":"Aaron Boysen","startTime":55.81,"endTime":57.52,"body":"dietetics digest podcast."},{"speaker":"Aaron Boysen","startTime":58.02,"endTime":58.86,"body":"Maybe you could start with"},{"speaker":"Aaron Boysen","startTime":58.86,"endTime":60.27,"body":"introducing yourself who is"},{"speaker":"Aaron Boysen","startTime":60.27,"endTime":61.08,"body":"Michael Patterson"},{"speaker":"Mike Patterson","startTime":61.68,"endTime":62.49,"body":"are a dietitian."},{"speaker":"Mike Patterson","startTime":62.52,"endTime":64.47,"body":"I'm currently back in my old"},{"speaker":"Mike Patterson","startTime":64.47,"endTime":66.03,"body":"role as a clinical dietitian,"},{"speaker":"Mike Patterson","startTime":66.03,"endTime":68.1,"body":"but our pre Corona and also in"},{"speaker":"Mike Patterson","startTime":68.1,"endTime":69.66,"body":"about five weeks time on"},{"speaker":"Mike Patterson","startTime":69.66,"endTime":70.95,"body":"clinical research fellowships"},{"speaker":"Mike Patterson","startTime":70.95,"endTime":72.63,"body":"and nutrition. So it's got a PhD"},{"speaker":"Mike Patterson","startTime":72.63,"endTime":74.16,"body":"mixed in there. So I'm employed"},{"speaker":"Mike Patterson","startTime":74.19,"endTime":75.93,"body":"by Holyoke medical school. As a"},{"speaker":"Mike Patterson","startTime":75.93,"endTime":78.03,"body":"research fellow, I do a PhD. As"},{"speaker":"Mike Patterson","startTime":78.03,"endTime":80.1,"body":"part of that sponsored by Yauch"},{"speaker":"Mike Patterson","startTime":80.1,"endTime":82.17,"body":"cancer research looking at"},{"speaker":"Mike Patterson","startTime":82.17,"endTime":84.03,"body":"palliative pn venting."},{"speaker":"Mike Patterson","startTime":84.03,"endTime":85.59,"body":"gastrostomy is in Manipur,"},{"speaker":"Mike Patterson","startTime":85.59,"endTime":87.48,"body":"bollock structured palliative"},{"speaker":"Mike Patterson","startTime":87.48,"endTime":89.49,"body":"intervention in South Korea,"},{"speaker":"Aaron Boysen","startTime":90.21,"endTime":90.84,"body":"what really"},{"speaker":"Aaron Boysen","startTime":90.84,"endTime":91.92,"body":"triggered the interest in that"},{"speaker":"Aaron Boysen","startTime":91.92,"endTime":92.85,"body":"area in particular."},{"speaker":"Mike Patterson","startTime":93.27,"endTime":95.04,"body":"And so pretty"},{"speaker":"Mike Patterson","startTime":95.04,"endTime":97.14,"body":"much since I qualified, I knew I"},{"speaker":"Mike Patterson","startTime":97.14,"endTime":98.94,"body":"wanted to be intestinal failure."},{"speaker":"Mike Patterson","startTime":99.0,"endTime":101.25,"body":"So I covered colorectal as part"},{"speaker":"Mike Patterson","startTime":101.25,"endTime":102.51,"body":"of mercy basement, I did my"},{"speaker":"Mike Patterson","startTime":102.51,"endTime":104.46,"body":"consolidation on Colorado, what"},{"speaker":"Mike Patterson","startTime":104.58,"endTime":105.6,"body":"I found really, really"},{"speaker":"Mike Patterson","startTime":105.6,"endTime":107.1,"body":"interesting. So as soon as I got"},{"speaker":"Mike Patterson","startTime":107.1,"endTime":108.72,"body":"to my jobs, I got a job in"},{"speaker":"Mike Patterson","startTime":108.72,"endTime":109.68,"body":"hardware. I did my seed"},{"speaker":"Mike Patterson","startTime":109.68,"endTime":111.72,"body":"placement, nice shout out to"},{"speaker":"Mike Patterson","startTime":111.72,"endTime":113.13,"body":"contractor. So luckily, it's"},{"speaker":"Mike Patterson","startTime":113.13,"endTime":114.39,"body":"been five that was my first"},{"speaker":"Mike Patterson","startTime":114.39,"endTime":115.98,"body":"rotation, the rotation, so it's"},{"speaker":"Mike Patterson","startTime":115.98,"endTime":118.14,"body":"been like six or nine months,"},{"speaker":"Mike Patterson","startTime":118.26,"endTime":119.64,"body":"I've managed to sort of top"},{"speaker":"Mike Patterson","startTime":119.64,"endTime":121.02,"body":"Marines are doing it, but 18"},{"speaker":"Mike Patterson","startTime":121.02,"endTime":122.79,"body":"months. So I got sound a little"},{"speaker":"Mike Patterson","startTime":122.79,"endTime":124.32,"body":"bit longer. I knew I wanted to"},{"speaker":"Mike Patterson","startTime":124.38,"endTime":126.27,"body":"sort of delve into piano, I"},{"speaker":"Mike Patterson","startTime":126.27,"endTime":128.19,"body":"always covered when pn dietitian"},{"speaker":"Mike Patterson","startTime":128.19,"endTime":129.57,"body":"was off, always picked up new"},{"speaker":"Mike Patterson","startTime":129.57,"endTime":131.07,"body":"patients if they were busy. And"},{"speaker":"Mike Patterson","startTime":131.07,"endTime":132.66,"body":"then we started doing a little"},{"speaker":"Mike Patterson","startTime":132.66,"endTime":134.64,"body":"bit more positive pn as a"},{"speaker":"Mike Patterson","startTime":134.64,"endTime":136.26,"body":"nutrition team. And then"},{"speaker":"Mike Patterson","startTime":136.5,"endTime":137.73,"body":"colleague of mine to do their"},{"speaker":"Mike Patterson","startTime":137.85,"endTime":139.89,"body":"PhD. So she's another fellow at"},{"speaker":"Mike Patterson","startTime":139.89,"endTime":142.05,"body":"bolier Medical School. And he"},{"speaker":"Mike Patterson","startTime":142.05,"endTime":144.09,"body":"said obviously PhDs coming up on"},{"speaker":"Mike Patterson","startTime":144.09,"endTime":145.95,"body":"dbrs cancer research. So it's"},{"speaker":"Mike Patterson","startTime":145.95,"endTime":147.66,"body":"got been in around this area. So"},{"speaker":"Mike Patterson","startTime":147.66,"endTime":149.25,"body":"I met with my no supervisor,"},{"speaker":"Mike Patterson","startTime":149.31,"endTime":151.29,"body":"who's a professor of medicine"},{"speaker":"Mike Patterson","startTime":151.32,"endTime":153.27,"body":"put the idea to her about"},{"speaker":"Mike Patterson","startTime":153.39,"endTime":155.34,"body":"investigating parts of pn,"},{"speaker":"Mike Patterson","startTime":155.37,"endTime":157.74,"body":"Gaston is about function issues,"},{"speaker":"Mike Patterson","startTime":157.74,"endTime":159.87,"body":"mainly Medicaid. So the Research"},{"speaker":"Mike Patterson","startTime":159.87,"endTime":161.88,"body":"Centre are currently doing some"},{"speaker":"Mike Patterson","startTime":161.88,"endTime":163.14,"body":"research looking at sort of"},{"speaker":"Mike Patterson","startTime":163.17,"endTime":164.82,"body":"patient reported outcomes in"},{"speaker":"Mike Patterson","startTime":164.82,"endTime":166.35,"body":"malignant bowel obstruction. So"},{"speaker":"Mike Patterson","startTime":166.35,"endTime":167.52,"body":"they're already looking into"},{"speaker":"Mike Patterson","startTime":167.52,"endTime":168.81,"body":"that area. And then when I spoke"},{"speaker":"Mike Patterson","startTime":168.81,"endTime":169.8,"body":"about nutrition and the"},{"speaker":"Mike Patterson","startTime":169.8,"endTime":171.09,"body":"gastrostomy side of things, she"},{"speaker":"Mike Patterson","startTime":171.09,"endTime":172.59,"body":"was really interested. So she"},{"speaker":"Mike Patterson","startTime":172.59,"endTime":175.14,"body":"said to me, and my centre"},{"speaker":"Mike Patterson","startTime":175.17,"endTime":177.18,"body":"research dietitian, that she"},{"speaker":"Mike Patterson","startTime":177.18,"endTime":179.16,"body":"wants an army of dietitians. And"},{"speaker":"Mike Patterson","startTime":179.16,"endTime":179.61,"body":"so"},{"speaker":"Aaron Boysen","startTime":179.64,"endTime":180.18,"body":"should we start"},{"speaker":"Aaron Boysen","startTime":180.18,"endTime":181.14,"body":"the recruitment drive right"},{"speaker":"Aaron Boysen","startTime":181.14,"endTime":181.5,"body":"here?"},{"speaker":"Mike Patterson","startTime":182.61,"endTime":183.51,"body":"Yeah, maybe she"},{"speaker":"Mike Patterson","startTime":183.51,"endTime":185.22,"body":"just said there's some she has"},{"speaker":"Mike Patterson","startTime":185.22,"endTime":186.33,"body":"some issues with some of the"},{"speaker":"Mike Patterson","startTime":186.33,"endTime":188.4,"body":"evidence. So she wants to prove"},{"speaker":"Mike Patterson","startTime":188.4,"endTime":189.9,"body":"that evidence. So I appreciate"},{"speaker":"Mike Patterson","startTime":189.9,"endTime":191.25,"body":"and get more dietitians into"},{"speaker":"Mike Patterson","startTime":191.25,"endTime":192.45,"body":"research. It should be out."},{"speaker":"Aaron Boysen","startTime":192.45,"endTime":193.56,"body":"So you said you"},{"speaker":"Aaron Boysen","startTime":193.56,"endTime":195.27,"body":"always had interest in the area"},{"speaker":"Aaron Boysen","startTime":195.27,"endTime":197.61,"body":"of intestinal failure. Was that"},{"speaker":"Aaron Boysen","startTime":197.61,"endTime":199.47,"body":"originally from when you first"},{"speaker":"Aaron Boysen","startTime":199.47,"endTime":201.24,"body":"started dietetics? Or did that"},{"speaker":"Aaron Boysen","startTime":201.24,"endTime":202.68,"body":"interest grow throughout your"},{"speaker":"Aaron Boysen","startTime":202.68,"endTime":203.91,"body":"time in dietetics?"},{"speaker":"Mike Patterson","startTime":204.15,"endTime":205.2,"body":"So dietetics is"},{"speaker":"Mike Patterson","startTime":205.2,"endTime":206.67,"body":"actually a second career for me."},{"speaker":"Mike Patterson","startTime":206.7,"endTime":209.28,"body":"So I left school 16 did an"},{"speaker":"Mike Patterson","startTime":209.28,"endTime":210.24,"body":"apprenticeship. So I was a"},{"speaker":"Mike Patterson","startTime":210.24,"endTime":212.31,"body":"telecoms engineer for five and a"},{"speaker":"Mike Patterson","startTime":212.31,"endTime":214.65,"body":"half to six years. It paid very"},{"speaker":"Mike Patterson","startTime":214.65,"endTime":216.99,"body":"well, it was like there's no"},{"speaker":"Mike Patterson","startTime":216.99,"endTime":218.34,"body":"thought process to it a lot of"},{"speaker":"Mike Patterson","startTime":218.34,"endTime":219.45,"body":"time, you just put cables"},{"speaker":"Mike Patterson","startTime":219.45,"endTime":221.43,"body":"together and really frustrated."},{"speaker":"Mike Patterson","startTime":221.43,"endTime":223.17,"body":"So then offering Andriy"},{"speaker":"Mike Patterson","startTime":223.17,"endTime":225.18,"body":"redundancies with a half decent"},{"speaker":"Mike Patterson","startTime":225.18,"endTime":226.38,"body":"pair to go with it. So I took"},{"speaker":"Mike Patterson","startTime":226.38,"endTime":228.51,"body":"that my other half family got"},{"speaker":"Mike Patterson","startTime":228.51,"endTime":230.01,"body":"pig farm. So I worked on that"},{"speaker":"Mike Patterson","startTime":230.01,"endTime":231.21,"body":"for a while while thinking about"},{"speaker":"Mike Patterson","startTime":231.21,"endTime":232.44,"body":"different choices. So I've"},{"speaker":"Mike Patterson","startTime":232.44,"endTime":234.21,"body":"always been interested in sports"},{"speaker":"Mike Patterson","startTime":234.21,"endTime":235.8,"body":"nutrition, just from personal"},{"speaker":"Mike Patterson","startTime":235.8,"endTime":237.03,"body":"perspective, looking for a new"},{"speaker":"Mike Patterson","startTime":237.03,"endTime":238.65,"body":"career and my sister's a video"},{"speaker":"Mike Patterson","startTime":238.74,"endTime":239.79,"body":"always always interested in"},{"speaker":"Mike Patterson","startTime":239.79,"endTime":242.73,"body":"nutrition dietetics so different"},{"speaker":"Mike Patterson","startTime":242.73,"endTime":244.32,"body":"access costs and different"},{"speaker":"Mike Patterson","startTime":244.32,"endTime":246.24,"body":"undergrad for sort of German"},{"speaker":"Mike Patterson","startTime":246.24,"endTime":247.95,"body":"undergrad, maybe go down the"},{"speaker":"Mike Patterson","startTime":247.95,"endTime":249.33,"body":"smart route. I do the non"},{"speaker":"Mike Patterson","startTime":249.33,"endTime":250.83,"body":"clinical placements. I did my"},{"speaker":"Mike Patterson","startTime":250.83,"endTime":252.18,"body":"undergrad at Leeds I did the non"},{"speaker":"Mike Patterson","startTime":252.18,"endTime":253.68,"body":"clinical soft spots, research"},{"speaker":"Mike Patterson","startTime":253.68,"endTime":255.66,"body":"placement leads and then when I"},{"speaker":"Mike Patterson","startTime":255.66,"endTime":257.52,"body":"did my placements, Southland,"},{"speaker":"Mike Patterson","startTime":258.03,"endTime":259.92,"body":"colorectal got introduced to pn"},{"speaker":"Mike Patterson","startTime":259.98,"endTime":261.84,"body":"is quite Science Nation without"},{"speaker":"Mike Patterson","startTime":261.84,"endTime":263.34,"body":"a word from a from a dietetic"},{"speaker":"Mike Patterson","startTime":263.34,"endTime":264.87,"body":"perspective, you get to play"},{"speaker":"Mike Patterson","startTime":264.87,"endTime":266.79,"body":"about those numbers a bit must"},{"speaker":"Mike Patterson","startTime":266.79,"endTime":267.93,"body":"involve a bit more sort of"},{"speaker":"Mike Patterson","startTime":267.93,"endTime":269.43,"body":"medicine involved with it. So"},{"speaker":"Mike Patterson","startTime":269.43,"endTime":270.45,"body":"because of that just sort of"},{"speaker":"Mike Patterson","startTime":270.51,"endTime":271.92,"body":"knew straight away, this is the"},{"speaker":"Mike Patterson","startTime":271.92,"endTime":273.15,"body":"area I want to work in. Well,"},{"speaker":"Aaron Boysen","startTime":273.15,"endTime":273.66,"body":"thank you. That's"},{"speaker":"Aaron Boysen","startTime":273.66,"endTime":274.68,"body":"really interesting. It's really"},{"speaker":"Aaron Boysen","startTime":274.68,"endTime":275.76,"body":"interesting to hear the thought"},{"speaker":"Aaron Boysen","startTime":275.76,"endTime":277.77,"body":"process you took in choosing"},{"speaker":"Aaron Boysen","startTime":277.77,"endTime":279.84,"body":"where your eventual direction"},{"speaker":"Aaron Boysen","startTime":279.84,"endTime":281.07,"body":"would be. And I think that's"},{"speaker":"Aaron Boysen","startTime":281.07,"endTime":281.88,"body":"really important when we're"},{"speaker":"Aaron Boysen","startTime":281.88,"endTime":283.05,"body":"discussing the next topic"},{"speaker":"Aaron Boysen","startTime":283.05,"endTime":283.98,"body":"because it's really important to"},{"speaker":"Aaron Boysen","startTime":283.98,"endTime":284.85,"body":"understand that everyone's"},{"speaker":"Aaron Boysen","startTime":284.85,"endTime":286.71,"body":"journey is different. However,"},{"speaker":"Aaron Boysen","startTime":286.71,"endTime":288.96,"body":"there are commonalities in which"},{"speaker":"Aaron Boysen","startTime":288.96,"endTime":291.45,"body":"we can support each other in and"},{"speaker":"Aaron Boysen","startTime":291.45,"endTime":292.8,"body":"a few months ago, you put out a"},{"speaker":"Aaron Boysen","startTime":292.8,"endTime":295.71,"body":"tweet, which was sort of around"},{"speaker":"Aaron Boysen","startTime":296.01,"endTime":298.44,"body":"half ranting and half tips for"},{"speaker":"Aaron Boysen","startTime":298.44,"endTime":301.05,"body":"new dieticians. Possibly just"},{"speaker":"Aaron Boysen","startTime":301.05,"endTime":302.88,"body":"starting out in a career in"},{"speaker":"Aaron Boysen","startTime":302.88,"endTime":304.89,"body":"dietetics. So just like that"},{"speaker":"Aaron Boysen","startTime":304.89,"endTime":306.99,"body":"tweet, I want this podcast or"},{"speaker":"Aaron Boysen","startTime":306.99,"endTime":308.4,"body":"maybe a little bit of ranting,"},{"speaker":"Aaron Boysen","startTime":308.49,"endTime":310.05,"body":"but really aimed at those new"},{"speaker":"Aaron Boysen","startTime":310.05,"endTime":311.88,"body":"dieticians and advice for them."},{"speaker":"Aaron Boysen","startTime":311.94,"endTime":313.77,"body":"So bring us on to one of the"},{"speaker":"Aaron Boysen","startTime":313.77,"endTime":314.85,"body":"first points you mentioned in"},{"speaker":"Aaron Boysen","startTime":314.85,"endTime":316.56,"body":"the tweet. And it resonated with"},{"speaker":"Aaron Boysen","startTime":316.56,"endTime":318.27,"body":"me, because obviously, we go"},{"speaker":"Aaron Boysen","startTime":318.27,"endTime":319.26,"body":"through lots of topics in our"},{"speaker":"Aaron Boysen","startTime":319.26,"endTime":320.7,"body":"degree, we cover lots of"},{"speaker":"Aaron Boysen","startTime":320.7,"endTime":323.16,"body":"different areas. And sometimes"},{"speaker":"Aaron Boysen","startTime":323.19,"endTime":324.96,"body":"things aren't at the forefront"},{"speaker":"Aaron Boysen","startTime":324.96,"endTime":326.4,"body":"of our mind when we graduate,"},{"speaker":"Aaron Boysen","startTime":326.4,"endTime":327.33,"body":"you've got other things on your"},{"speaker":"Aaron Boysen","startTime":327.33,"endTime":330.12,"body":"mind. And going into your first"},{"speaker":"Aaron Boysen","startTime":330.12,"endTime":331.89,"body":"job, you want to make sure you"},{"speaker":"Aaron Boysen","startTime":331.89,"endTime":334.2,"body":"prepared, is there any area that"},{"speaker":"Aaron Boysen","startTime":334.47,"endTime":336.39,"body":"you think New dietitian should"},{"speaker":"Aaron Boysen","startTime":336.39,"endTime":338.82,"body":"brush up on? Or just refresh"},{"speaker":"Aaron Boysen","startTime":338.82,"endTime":339.72,"body":"their knowledge before they get"},{"speaker":"Aaron Boysen","startTime":339.72,"endTime":340.2,"body":"started?"},{"speaker":"Mike Patterson","startTime":340.649,"endTime":342.869,"body":"Yes and no. So I"},{"speaker":"Mike Patterson","startTime":342.869,"endTime":344.129,"body":"sort of do like to jump into"},{"speaker":"Mike Patterson","startTime":344.129,"endTime":345.989,"body":"things and just give it a go see"},{"speaker":"Mike Patterson","startTime":345.989,"endTime":348.059,"body":"what happens. In terms of"},{"speaker":"Mike Patterson","startTime":348.059,"endTime":350.669,"body":"refreshing, definitely. So I"},{"speaker":"Mike Patterson","startTime":350.669,"endTime":352.109,"body":"still do it now, especially when"},{"speaker":"Mike Patterson","startTime":352.109,"endTime":353.879,"body":"you come up with it. So you see"},{"speaker":"Mike Patterson","startTime":353.879,"endTime":355.289,"body":"a new condition or think about"},{"speaker":"Mike Patterson","startTime":355.289,"endTime":356.639,"body":"something else. So especially"},{"speaker":"Mike Patterson","startTime":356.639,"endTime":358.469,"body":"from where I am now with"},{"speaker":"Mike Patterson","startTime":358.469,"endTime":360.179,"body":"intestinal failure, but going"},{"speaker":"Mike Patterson","startTime":360.179,"endTime":361.469,"body":"back to pretty much every aspect"},{"speaker":"Mike Patterson","startTime":361.469,"endTime":363.419,"body":"starts ethics, physiology. So"},{"speaker":"Mike Patterson","startTime":363.419,"endTime":364.199,"body":"it's the thing that you learned"},{"speaker":"Mike Patterson","startTime":364.199,"endTime":365.729,"body":"in first year? Well, I certainly"},{"speaker":"Mike Patterson","startTime":365.729,"endTime":367.949,"body":"did when you do this, like, why"},{"speaker":"Mike Patterson","startTime":367.949,"endTime":370.769,"body":"am I landed this one and this"},{"speaker":"Mike Patterson","startTime":370.889,"endTime":372.479,"body":"come foreseer when you've done"},{"speaker":"Mike Patterson","startTime":372.479,"endTime":373.289,"body":"all your other modules, you've"},{"speaker":"Mike Patterson","startTime":373.289,"endTime":374.069,"body":"done all your placement,"},{"speaker":"Mike Patterson","startTime":374.099,"endTime":376.199,"body":"physiology comes a little bit"},{"speaker":"Mike Patterson","startTime":376.259,"endTime":378.269,"body":"out of your mind. And then for"},{"speaker":"Mike Patterson","startTime":378.269,"endTime":379.859,"body":"me, when you got back, when you"},{"speaker":"Mike Patterson","startTime":379.859,"endTime":381.359,"body":"start working, you come back on"},{"speaker":"Mike Patterson","startTime":381.359,"endTime":382.949,"body":"placement, you start a job full"},{"speaker":"Mike Patterson","startTime":382.949,"endTime":384.899,"body":"time, physiology becomes that"},{"speaker":"Mike Patterson","startTime":384.899,"endTime":386.429,"body":"much more important, I think in"},{"speaker":"Mike Patterson","startTime":386.429,"endTime":388.109,"body":"terms of when you have a good"},{"speaker":"Mike Patterson","startTime":388.109,"endTime":389.729,"body":"understanding of physiology, it"},{"speaker":"Mike Patterson","startTime":389.729,"endTime":390.929,"body":"improves your understanding the"},{"speaker":"Mike Patterson","startTime":390.929,"endTime":392.699,"body":"medicine, so I'm not expecting"},{"speaker":"Mike Patterson","startTime":392.759,"endTime":394.949,"body":"dietitians to be medics. We're"},{"speaker":"Mike Patterson","startTime":394.949,"endTime":396.449,"body":"not medics, but having that"},{"speaker":"Mike Patterson","startTime":396.449,"endTime":397.409,"body":"really good knowledge of"},{"speaker":"Mike Patterson","startTime":397.409,"endTime":399.299,"body":"physiology really helps improve"},{"speaker":"Mike Patterson","startTime":399.299,"endTime":400.409,"body":"in terms of your medical"},{"speaker":"Mike Patterson","startTime":400.409,"endTime":401.489,"body":"knowledge. I think it helps you"},{"speaker":"Mike Patterson","startTime":401.489,"endTime":402.809,"body":"understand the disease a little"},{"speaker":"Mike Patterson","startTime":402.809,"endTime":403.649,"body":"bit better. What's actually"},{"speaker":"Mike Patterson","startTime":403.649,"endTime":405.239,"body":"happening body where you're"},{"speaker":"Mike Patterson","startTime":405.239,"endTime":406.379,"body":"digesting information is going"},{"speaker":"Mike Patterson","startTime":406.379,"endTime":407.669,"body":"to help us think Yeah,"},{"speaker":"Mike Patterson","startTime":407.669,"endTime":408.989,"body":"physiology is probably the big"},{"speaker":"Mike Patterson","startTime":408.989,"endTime":410.489,"body":"one. I've said it on the on the"},{"speaker":"Mike Patterson","startTime":410.639,"endTime":412.439,"body":"thread. But in terms of I'm very"},{"speaker":"Mike Patterson","startTime":412.439,"endTime":414.539,"body":"biassed that gi physiology, you"},{"speaker":"Mike Patterson","startTime":414.539,"endTime":416.339,"body":"need to know your GI physiology."},{"speaker":"Mike Patterson","startTime":416.789,"endTime":418.739,"body":"I don't doesn't care what"},{"speaker":"Mike Patterson","startTime":418.739,"endTime":420.329,"body":"condition it is, it's probably"},{"speaker":"Mike Patterson","startTime":420.329,"endTime":421.379,"body":"going to end up in the gut. If"},{"speaker":"Mike Patterson","startTime":421.379,"endTime":422.189,"body":"it doesn't, obviously, it's"},{"speaker":"Mike Patterson","startTime":422.189,"endTime":423.689,"body":"intestinal failure. But again,"},{"speaker":"Mike Patterson","startTime":423.689,"endTime":425.039,"body":"we still need really, really"},{"speaker":"Mike Patterson","startTime":425.039,"endTime":426.389,"body":"good gi physiology. And I'm"},{"speaker":"Aaron Boysen","startTime":426.81,"endTime":427.44,"body":"running through"},{"speaker":"Aaron Boysen","startTime":427.44,"endTime":429.78,"body":"some of those theoretical topics"},{"speaker":"Aaron Boysen","startTime":429.78,"endTime":432.36,"body":"that may not have been all seem"},{"speaker":"Aaron Boysen","startTime":432.36,"endTime":434.43,"body":"to have been as applicable at"},{"speaker":"Aaron Boysen","startTime":434.43,"endTime":436.44,"body":"the time now that you're working"},{"speaker":"Aaron Boysen","startTime":436.47,"endTime":438.33,"body":"are almost directly applicable"},{"speaker":"Aaron Boysen","startTime":438.33,"endTime":438.96,"body":"to your work."},{"speaker":"Mike Patterson","startTime":439.049,"endTime":441.329,"body":"Yeah, yeah. So"},{"speaker":"Mike Patterson","startTime":441.359,"endTime":443.489,"body":"it's just that was going on"},{"speaker":"Mike Patterson","startTime":443.489,"endTime":445.679,"body":"right in your mind. And just, I"},{"speaker":"Mike Patterson","startTime":445.679,"endTime":446.669,"body":"always think if you just take a"},{"speaker":"Mike Patterson","startTime":446.669,"endTime":447.929,"body":"little bit of the backward steps"},{"speaker":"Mike Patterson","startTime":447.929,"endTime":448.949,"body":"and times, because you probably"},{"speaker":"Mike Patterson","startTime":448.949,"endTime":450.419,"body":"just want to jump into it. But"},{"speaker":"Mike Patterson","startTime":450.419,"endTime":451.589,"body":"if you then you know you're"},{"speaker":"Mike Patterson","startTime":451.589,"endTime":452.819,"body":"assessing the patient and look"},{"speaker":"Mike Patterson","startTime":452.819,"endTime":453.899,"body":"into their solid medical"},{"speaker":"Mike Patterson","startTime":453.899,"endTime":455.369,"body":"history. If you actually think a"},{"speaker":"Mike Patterson","startTime":455.369,"endTime":456.689,"body":"little bit about the physiology"},{"speaker":"Mike Patterson","startTime":456.749,"endTime":458.459,"body":"can help, what you're then going"},{"speaker":"Mike Patterson","startTime":458.459,"endTime":459.989,"body":"to want to do with that person"},{"speaker":"Mike Patterson","startTime":460.019,"endTime":461.039,"body":"is going to inform your plan"},{"speaker":"Mike Patterson","startTime":461.039,"endTime":461.879,"body":"that little bit more."},{"speaker":"Aaron Boysen","startTime":461.909,"endTime":462.569,"body":"So how am I"},{"speaker":"Aaron Boysen","startTime":462.569,"endTime":464.279,"body":"understanding physiology inform"},{"speaker":"Aaron Boysen","startTime":464.279,"endTime":464.789,"body":"your plan."},{"speaker":"Mike Patterson","startTime":464.909,"endTime":465.479,"body":"So it might help"},{"speaker":"Mike Patterson","startTime":465.479,"endTime":466.679,"body":"you solve a problem, even"},{"speaker":"Mike Patterson","startTime":466.679,"endTime":467.759,"body":"something like fat"},{"speaker":"Mike Patterson","startTime":467.759,"endTime":469.619,"body":"malabsorption. If you don't"},{"speaker":"Mike Patterson","startTime":469.619,"endTime":470.939,"body":"understand where something gets"},{"speaker":"Mike Patterson","startTime":470.939,"endTime":472.799,"body":"absorbed, or what happens when"},{"speaker":"Mike Patterson","startTime":472.799,"endTime":473.999,"body":"someone's won't absorb them, if"},{"speaker":"Mike Patterson","startTime":473.999,"endTime":475.079,"body":"you don't have that good"},{"speaker":"Mike Patterson","startTime":475.079,"endTime":476.309,"body":"understanding, you might not"},{"speaker":"Mike Patterson","startTime":476.339,"endTime":477.659,"body":"pick up on it, it might not be"},{"speaker":"Mike Patterson","startTime":477.659,"endTime":478.559,"body":"something that a medic could"},{"speaker":"Mike Patterson","startTime":478.559,"endTime":479.759,"body":"pick up on as well. So if"},{"speaker":"Mike Patterson","startTime":479.759,"endTime":480.569,"body":"someone's having like the"},{"speaker":"Mike Patterson","startTime":480.569,"endTime":482.099,"body":"atheria medic might not pick up"},{"speaker":"Mike Patterson","startTime":482.099,"endTime":483.659,"body":"on it. But because as"},{"speaker":"Mike Patterson","startTime":483.659,"endTime":484.799,"body":"dietitians, we often have the"},{"speaker":"Mike Patterson","startTime":484.799,"endTime":486.179,"body":"luxury of having a little bit"},{"speaker":"Mike Patterson","startTime":486.179,"endTime":487.409,"body":"more patient contact times in"},{"speaker":"Mike Patterson","startTime":487.409,"endTime":488.399,"body":"the medical world, again,"},{"speaker":"Mike Patterson","startTime":488.429,"endTime":489.539,"body":"something where communication"},{"speaker":"Mike Patterson","startTime":489.539,"endTime":490.889,"body":"skills come in, but we get to"},{"speaker":"Mike Patterson","startTime":490.889,"endTime":491.879,"body":"have a bit more of an in depth"},{"speaker":"Mike Patterson","startTime":491.879,"endTime":493.229,"body":"chat with someone. So you might"},{"speaker":"Mike Patterson","startTime":493.229,"endTime":494.519,"body":"pick up on some triggers that"},{"speaker":"Mike Patterson","startTime":494.519,"endTime":496.109,"body":"they're giving you that maybe"},{"speaker":"Mike Patterson","startTime":496.109,"endTime":497.249,"body":"they've not had a chance to"},{"speaker":"Mike Patterson","startTime":497.339,"endTime":498.689,"body":"discuss with a medic, if you"},{"speaker":"Mike Patterson","startTime":498.689,"endTime":499.889,"body":"apply a little bit of physiology"},{"speaker":"Mike Patterson","startTime":499.889,"endTime":501.209,"body":"to it, you might be able to"},{"speaker":"Mike Patterson","startTime":501.209,"endTime":504.359,"body":"think, ah, maybe it's something"},{"speaker":"Mike Patterson","startTime":504.359,"endTime":505.769,"body":"that you can always discuss them"},{"speaker":"Mike Patterson","startTime":505.769,"endTime":506.729,"body":"with their medics as well. I"},{"speaker":"Mike Patterson","startTime":506.729,"endTime":508.139,"body":"think if you have a good"},{"speaker":"Mike Patterson","startTime":508.139,"endTime":509.459,"body":"understanding of physiology,"},{"speaker":"Mike Patterson","startTime":509.489,"endTime":510.809,"body":"when you're discussing something"},{"speaker":"Mike Patterson","startTime":510.839,"endTime":512.219,"body":"with a medic as well, it makes"},{"speaker":"Mike Patterson","startTime":512.219,"endTime":513.359,"body":"it that little bit easier,"},{"speaker":"Mike Patterson","startTime":513.419,"endTime":514.649,"body":"because you can explain what"},{"speaker":"Mike Patterson","startTime":514.649,"endTime":516.269,"body":"your thought process is because"},{"speaker":"Mike Patterson","startTime":516.269,"endTime":518.669,"body":"of x y Zed, and it might just"},{"speaker":"Mike Patterson","startTime":518.669,"endTime":520.019,"body":"get that point across a little"},{"speaker":"Mike Patterson","startTime":520.019,"endTime":520.409,"body":"bit more."},{"speaker":"Aaron Boysen","startTime":520.44,"endTime":520.95,"body":"You mentioned a"},{"speaker":"Aaron Boysen","startTime":520.95,"endTime":522.33,"body":"little bit about communication"},{"speaker":"Aaron Boysen","startTime":522.33,"endTime":524.43,"body":"skills. Is there a way to brush"},{"speaker":"Aaron Boysen","startTime":524.43,"endTime":526.14,"body":"up on those before we start our"},{"speaker":"Aaron Boysen","startTime":526.14,"endTime":526.74,"body":"new jobs?"},{"speaker":"Mike Patterson","startTime":527.52,"endTime":527.82,"body":"I think"},{"speaker":"Mike Patterson","startTime":527.82,"endTime":529.71,"body":"sometimes from what you do at"},{"speaker":"Mike Patterson","startTime":529.71,"endTime":531.63,"body":"uni, very, very sort of"},{"speaker":"Mike Patterson","startTime":531.63,"endTime":533.7,"body":"structured, very formal doesn't"},{"speaker":"Mike Patterson","startTime":533.7,"endTime":535.71,"body":"always apply necessarily,"},{"speaker":"Mike Patterson","startTime":536.31,"endTime":537.69,"body":"especially to me in an acute"},{"speaker":"Mike Patterson","startTime":537.69,"endTime":539.1,"body":"hospital restaurant is quite"},{"speaker":"Mike Patterson","startTime":539.1,"endTime":540.36,"body":"sick, you're not always going to"},{"speaker":"Mike Patterson","startTime":540.36,"endTime":541.68,"body":"be able to chair someone with a"},{"speaker":"Mike Patterson","startTime":541.68,"endTime":544.38,"body":"little pedal following and, you"},{"speaker":"Mike Patterson","startTime":544.38,"endTime":546.6,"body":"know, if you push up and just"},{"speaker":"Mike Patterson","startTime":546.6,"endTime":548.61,"body":"think, at least if I can focus"},{"speaker":"Mike Patterson","startTime":548.61,"endTime":549.87,"body":"on that paraphrasing and"},{"speaker":"Mike Patterson","startTime":549.87,"endTime":551.16,"body":"summarising I think that's the"},{"speaker":"Mike Patterson","startTime":551.16,"endTime":553.32,"body":"two big ones I take is that you"},{"speaker":"Mike Patterson","startTime":553.32,"endTime":554.67,"body":"can actually do that quite"},{"speaker":"Mike Patterson","startTime":554.67,"endTime":555.81,"body":"easily with someone in acute"},{"speaker":"Mike Patterson","startTime":555.81,"endTime":556.71,"body":"care. So you might not be able"},{"speaker":"Mike Patterson","startTime":556.71,"endTime":558.18,"body":"to do everything else, you might"},{"speaker":"Mike Patterson","startTime":558.18,"endTime":559.29,"body":"not be able to sort of guide"},{"speaker":"Mike Patterson","startTime":559.29,"endTime":561.27,"body":"someone as much towards a goal."},{"speaker":"Mike Patterson","startTime":561.45,"endTime":563.4,"body":"I don't think he can in sort of"},{"speaker":"Mike Patterson","startTime":563.4,"endTime":565.14,"body":"different areas of dietetics he"},{"speaker":"Mike Patterson","startTime":565.14,"endTime":566.4,"body":"can sort of it's a little bit"},{"speaker":"Mike Patterson","startTime":566.4,"endTime":567.69,"body":"harder, I think in an acute"},{"speaker":"Mike Patterson","startTime":567.69,"endTime":569.19,"body":"setting for someone to come up"},{"speaker":"Mike Patterson","startTime":569.19,"endTime":571.2,"body":"with that on plan. As much as I"},{"speaker":"Mike Patterson","startTime":571.2,"endTime":572.04,"body":"think he was at least"},{"speaker":"Mike Patterson","startTime":572.04,"endTime":573.69,"body":"paraphrasing and summarising"},{"speaker":"Mike Patterson","startTime":573.69,"endTime":574.83,"body":"what's happening. You're able to"},{"speaker":"Mike Patterson","startTime":574.83,"endTime":576.42,"body":"sort out plan together a little"},{"speaker":"Mike Patterson","startTime":576.42,"endTime":577.68,"body":"bit more focusing on that"},{"speaker":"Aaron Boysen","startTime":577.68,"endTime":578.58,"body":"paraphrasing and"},{"speaker":"Aaron Boysen","startTime":578.58,"endTime":580.23,"body":"summarising Why do you think"},{"speaker":"Aaron Boysen","startTime":580.23,"endTime":581.76,"body":"those particular skills are most"},{"speaker":"Aaron Boysen","startTime":581.76,"endTime":583.74,"body":"beneficial in an acute setting?"},{"speaker":"Mike Patterson","startTime":583.77,"endTime":584.55,"body":"I think it just"},{"speaker":"Mike Patterson","startTime":584.73,"endTime":586.8,"body":"again, this active listener at"},{"speaker":"Mike Patterson","startTime":586.8,"endTime":588.48,"body":"least it shows to the patient"},{"speaker":"Mike Patterson","startTime":588.48,"endTime":590.4,"body":"that you're actually listening"},{"speaker":"Mike Patterson","startTime":590.4,"endTime":591.51,"body":"to them and they get to"},{"speaker":"Mike Patterson","startTime":591.51,"endTime":593.01,"body":"understand sort of what they've"},{"speaker":"Mike Patterson","startTime":593.01,"endTime":595.14,"body":"said back and for me as well. It"},{"speaker":"Mike Patterson","startTime":595.14,"endTime":596.73,"body":"helps me remember what patients"},{"speaker":"Mike Patterson","startTime":596.73,"endTime":598.86,"body":"said to me. I'm not a big fan of"},{"speaker":"Mike Patterson","startTime":598.92,"endTime":600.15,"body":"some people are but I'm Not a"},{"speaker":"Mike Patterson","startTime":600.15,"endTime":601.41,"body":"big fan of sitting there"},{"speaker":"Mike Patterson","startTime":601.41,"endTime":603.42,"body":"recording things on paper, I"},{"speaker":"Mike Patterson","startTime":603.69,"endTime":604.95,"body":"find it quite distracting for"},{"speaker":"Mike Patterson","startTime":604.95,"endTime":606.06,"body":"me. I don't know if the patient"},{"speaker":"Mike Patterson","startTime":606.06,"endTime":607.8,"body":"does, but for me as well, if I"},{"speaker":"Mike Patterson","startTime":607.92,"endTime":609.24,"body":"paraphrase throughout, if I"},{"speaker":"Mike Patterson","startTime":609.24,"endTime":610.44,"body":"summarise at the end or"},{"speaker":"Mike Patterson","startTime":610.44,"endTime":611.85,"body":"summarise where Mary's"},{"speaker":"Mike Patterson","startTime":611.85,"endTime":613.14,"body":"appropriate, it helps me"},{"speaker":"Mike Patterson","startTime":613.14,"endTime":614.22,"body":"remember what that patient said"},{"speaker":"Mike Patterson","startTime":614.22,"endTime":615.75,"body":"to me. And then I could go back"},{"speaker":"Mike Patterson","startTime":615.75,"endTime":617.16,"body":"and write whatever notes that"},{"speaker":"Mike Patterson","startTime":617.16,"endTime":619.32,"body":"tells me I can. I can remember"},{"speaker":"Mike Patterson","startTime":619.53,"endTime":620.73,"body":"history a little bit better."},{"speaker":"Aaron Boysen","startTime":621.06,"endTime":621.69,"body":"Yeah, I've noticed"},{"speaker":"Aaron Boysen","startTime":621.69,"endTime":622.68,"body":"that too. And it really"},{"speaker":"Aaron Boysen","startTime":622.68,"endTime":625.02,"body":"resonates with me, because when"},{"speaker":"Aaron Boysen","startTime":625.02,"endTime":627.15,"body":"I summarise or paraphrase"},{"speaker":"Aaron Boysen","startTime":627.18,"endTime":629.82,"body":"something to a patient in"},{"speaker":"Aaron Boysen","startTime":629.82,"endTime":631.86,"body":"hospital, and maybe I've"},{"speaker":"Aaron Boysen","startTime":631.86,"endTime":632.97,"body":"forgotten something, or maybe I"},{"speaker":"Aaron Boysen","startTime":632.97,"endTime":634.8,"body":"didn't have appropriate emphasis"},{"speaker":"Aaron Boysen","startTime":634.8,"endTime":635.79,"body":"on an area that was really"},{"speaker":"Aaron Boysen","startTime":635.79,"endTime":637.32,"body":"important to them, they can"},{"speaker":"Aaron Boysen","startTime":637.32,"endTime":639.3,"body":"reinforce that area, so that I'm"},{"speaker":"Aaron Boysen","startTime":639.3,"endTime":641.04,"body":"aware of what's what's most"},{"speaker":"Aaron Boysen","startTime":641.28,"endTime":642.12,"body":"important to them."},{"speaker":"Mike Patterson","startTime":642.15,"endTime":643.29,"body":"Yeah, percent."},{"speaker":"Aaron Boysen","startTime":643.32,"endTime":643.98,"body":"So we talked a"},{"speaker":"Aaron Boysen","startTime":643.98,"endTime":645.48,"body":"little bit about communication"},{"speaker":"Aaron Boysen","startTime":645.48,"endTime":647.52,"body":"with patients. But I want to"},{"speaker":"Aaron Boysen","startTime":647.52,"endTime":648.48,"body":"take you back to what we were"},{"speaker":"Aaron Boysen","startTime":648.48,"endTime":650.07,"body":"discussing earlier. It's a"},{"speaker":"Aaron Boysen","startTime":650.07,"endTime":651.21,"body":"little bit our knowing"},{"speaker":"Aaron Boysen","startTime":651.21,"endTime":652.62,"body":"physiology helps us discuss"},{"speaker":"Aaron Boysen","startTime":652.62,"endTime":654.45,"body":"things with the MDT so that"},{"speaker":"Aaron Boysen","startTime":654.93,"endTime":657.45,"body":"doctors, physios, nurses,"},{"speaker":"Aaron Boysen","startTime":657.57,"endTime":659.13,"body":"Speech, Language therapists,"},{"speaker":"Aaron Boysen","startTime":659.16,"endTime":661.32,"body":"occupational therapists, and"},{"speaker":"Aaron Boysen","startTime":661.32,"endTime":663.36,"body":"other members of the MDT, do you"},{"speaker":"Aaron Boysen","startTime":663.36,"endTime":665.76,"body":"have any tips on communicating"},{"speaker":"Aaron Boysen","startTime":665.76,"endTime":669.18,"body":"with them? I remember when I was"},{"speaker":"Aaron Boysen","startTime":669.18,"endTime":671.01,"body":"a newly qualified dietitian,"},{"speaker":"Aaron Boysen","startTime":671.25,"endTime":672.75,"body":"because I felt quite new. And I"},{"speaker":"Aaron Boysen","startTime":672.75,"endTime":673.83,"body":"felt that my knowledge wasn't"},{"speaker":"Aaron Boysen","startTime":673.83,"endTime":676.26,"body":"fully developed. And I also felt"},{"speaker":"Aaron Boysen","startTime":676.26,"endTime":677.91,"body":"like when people said, build"},{"speaker":"Aaron Boysen","startTime":677.91,"endTime":680.19,"body":"rapport, it meant, Hey, did you"},{"speaker":"Aaron Boysen","startTime":680.19,"endTime":681.36,"body":"see the football game on Sunday"},{"speaker":"Aaron Boysen","startTime":681.36,"endTime":683.28,"body":"night, and I'm just terrible at"},{"speaker":"Aaron Boysen","startTime":683.28,"endTime":684.6,"body":"those sorts of conversations."},{"speaker":"Mike Patterson","startTime":684.78,"endTime":685.89,"body":"And I'm the same"},{"speaker":"Mike Patterson","startTime":685.89,"endTime":687.78,"body":"as you are for small talk, not a"},{"speaker":"Mike Patterson","startTime":687.78,"endTime":689.4,"body":"big one for small talk, in terms"},{"speaker":"Mike Patterson","startTime":689.4,"endTime":691.47,"body":"of, I think it is different"},{"speaker":"Mike Patterson","startTime":691.53,"endTime":692.88,"body":"depending on who you're talking"},{"speaker":"Mike Patterson","startTime":692.88,"endTime":694.83,"body":"to, as I said before, like with"},{"speaker":"Mike Patterson","startTime":694.83,"endTime":696.57,"body":"medics, I tend to find a good"},{"speaker":"Mike Patterson","startTime":696.57,"endTime":698.88,"body":"way that they sort of respect to"},{"speaker":"Mike Patterson","startTime":698.88,"endTime":699.81,"body":"that a little bit more, but to"},{"speaker":"Mike Patterson","startTime":699.81,"endTime":700.89,"body":"sort of get to know that a"},{"speaker":"Mike Patterson","startTime":700.89,"endTime":701.97,"body":"little bit more, if you know,"},{"speaker":"Mike Patterson","startTime":701.97,"endTime":704.13,"body":"your patient story, get really,"},{"speaker":"Mike Patterson","startTime":704.13,"endTime":705.87,"body":"really, really good at knowing"},{"speaker":"Mike Patterson","startTime":705.87,"endTime":707.67,"body":"your patient story. So you know,"},{"speaker":"Mike Patterson","startTime":707.82,"endTime":710.07,"body":"eight year old guy admitted with"},{"speaker":"Mike Patterson","startTime":710.07,"endTime":711.81,"body":"this history of this, this is"},{"speaker":"Mike Patterson","startTime":711.81,"endTime":713.04,"body":"currently happening on this"},{"speaker":"Mike Patterson","startTime":713.04,"endTime":714.87,"body":"treatment devices. This is this"},{"speaker":"Mike Patterson","startTime":714.87,"endTime":716.1,"body":"is this is happening. So this is"},{"speaker":"Mike Patterson","startTime":716.1,"endTime":718.11,"body":"why I think I should do this. So"},{"speaker":"Mike Patterson","startTime":718.11,"endTime":719.94,"body":"I think for a consultant, he"},{"speaker":"Mike Patterson","startTime":719.94,"endTime":722.34,"body":"might have 20 3040 patients on"},{"speaker":"Mike Patterson","startTime":722.34,"endTime":723.57,"body":"the ward days looking after"},{"speaker":"Mike Patterson","startTime":723.57,"endTime":725.19,"body":"that, if you say our current"},{"speaker":"Mike Patterson","startTime":725.34,"endTime":728.25,"body":"issue about Mr. Smith, Mr."},{"speaker":"Mike Patterson","startTime":728.25,"endTime":729.99,"body":"Smith, if you can sound Can I"},{"speaker":"Mike Patterson","startTime":729.99,"endTime":732.27,"body":"just ask you about Mr. Smith, we"},{"speaker":"Mike Patterson","startTime":732.27,"endTime":733.56,"body":"lost the story, it's gonna make"},{"speaker":"Mike Patterson","startTime":733.56,"endTime":734.82,"body":"it a little bit easier for him."},{"speaker":"Mike Patterson","startTime":735.09,"endTime":736.02,"body":"And I think that's a good way to"},{"speaker":"Mike Patterson","startTime":736.02,"endTime":737.19,"body":"get chatting. If you know your"},{"speaker":"Mike Patterson","startTime":737.19,"endTime":738.63,"body":"patient story, it makes it"},{"speaker":"Mike Patterson","startTime":738.63,"endTime":739.86,"body":"easier to chat with medics and"},{"speaker":"Mike Patterson","startTime":739.86,"endTime":741.36,"body":"then you know, a bit more likely"},{"speaker":"Mike Patterson","startTime":741.36,"endTime":743.34,"body":"to just chat randomly or ask you"},{"speaker":"Mike Patterson","startTime":743.34,"endTime":744.84,"body":"about a patient. And the same"},{"speaker":"Mike Patterson","startTime":744.84,"endTime":746.16,"body":"thing I I find that like the"},{"speaker":"Mike Patterson","startTime":746.16,"endTime":748.14,"body":"physios speech and language, or"},{"speaker":"Mike Patterson","startTime":748.14,"endTime":749.58,"body":"the therapist goes back to the"},{"speaker":"Mike Patterson","startTime":749.94,"endTime":751.65,"body":"fact that I think as dietitians"},{"speaker":"Mike Patterson","startTime":751.65,"endTime":752.88,"body":"we have that little bit more"},{"speaker":"Mike Patterson","startTime":752.88,"endTime":754.35,"body":"time with patients, we get to"},{"speaker":"Mike Patterson","startTime":754.35,"endTime":755.43,"body":"know them a little bit more"},{"speaker":"Mike Patterson","startTime":755.52,"endTime":756.57,"body":"often patients will tell you"},{"speaker":"Mike Patterson","startTime":756.57,"endTime":759.93,"body":"certain personal things. So dog"},{"speaker":"Mike Patterson","startTime":759.96,"endTime":761.88,"body":"or cat by variable R, and I"},{"speaker":"Mike Patterson","startTime":761.88,"endTime":762.87,"body":"found a good way to sort of"},{"speaker":"Mike Patterson","startTime":763.08,"endTime":764.64,"body":"break the ice for the physios or"},{"speaker":"Mike Patterson","startTime":764.64,"endTime":767.04,"body":"speech language is talking about"},{"speaker":"Mike Patterson","startTime":767.04,"endTime":768.33,"body":"patient bring something like"},{"speaker":"Mike Patterson","startTime":768.33,"endTime":769.59,"body":"that, like the little sort of"},{"speaker":"Mike Patterson","startTime":769.59,"endTime":771.21,"body":"finer details and stories that"},{"speaker":"Mike Patterson","startTime":771.21,"endTime":772.83,"body":"the patient tells you, and"},{"speaker":"Mike Patterson","startTime":772.86,"endTime":773.79,"body":"probably told the other"},{"speaker":"Mike Patterson","startTime":773.79,"endTime":775.62,"body":"therapist that story, basically,"},{"speaker":"Mike Patterson","startTime":775.62,"endTime":776.94,"body":"I just find it's a good way to"},{"speaker":"Mike Patterson","startTime":776.94,"endTime":779.37,"body":"get chatting about it. Also,"},{"speaker":"Mike Patterson","startTime":779.73,"endTime":782.04,"body":"this is can really be helped for"},{"speaker":"Mike Patterson","startTime":782.04,"endTime":783.21,"body":"a lot of people, but I think"},{"speaker":"Mike Patterson","startTime":783.21,"endTime":784.71,"body":"being male and being being a"},{"speaker":"Mike Patterson","startTime":784.71,"endTime":786.3,"body":"dietitian is a bit of a novelty."},{"speaker":"Mike Patterson","startTime":786.78,"endTime":788.13,"body":"So I think that honestly helps"},{"speaker":"Mike Patterson","startTime":788.13,"endTime":790.08,"body":"people noticing you because"},{"speaker":"Mike Patterson","startTime":790.41,"endTime":791.94,"body":"first of all, just being the"},{"speaker":"Mike Patterson","startTime":791.94,"endTime":793.98,"body":"male dietician, I, I've often"},{"speaker":"Mike Patterson","startTime":793.98,"endTime":795.39,"body":"been that the only male"},{"speaker":"Mike Patterson","startTime":795.39,"endTime":797.46,"body":"dietician where I've worked. So"},{"speaker":"Mike Patterson","startTime":797.46,"endTime":799.14,"body":"it's like, it's the male world."},{"speaker":"Mike Patterson","startTime":799.32,"endTime":800.43,"body":"So you get to know people"},{"speaker":"Mike Patterson","startTime":800.43,"endTime":802.74,"body":"because because of that I've"},{"speaker":"Mike Patterson","startTime":802.74,"endTime":803.04,"body":"worked"},{"speaker":"Aaron Boysen","startTime":803.04,"endTime":803.55,"body":"in a hospital"},{"speaker":"Aaron Boysen","startTime":803.55,"endTime":804.81,"body":"where I have that novelty"},{"speaker":"Aaron Boysen","startTime":804.81,"endTime":806.46,"body":"factor. But currently where I"},{"speaker":"Aaron Boysen","startTime":806.46,"endTime":808.23,"body":"work, there's actually quite a"},{"speaker":"Aaron Boysen","startTime":808.23,"endTime":809.55,"body":"few male dieticians in the"},{"speaker":"Aaron Boysen","startTime":809.55,"endTime":811.29,"body":"office, I think there's about"},{"speaker":"Aaron Boysen","startTime":811.29,"endTime":813.93,"body":"five in our cute team. So I"},{"speaker":"Aaron Boysen","startTime":813.93,"endTime":816.45,"body":"think by now that novelty factor"},{"speaker":"Aaron Boysen","startTime":816.45,"endTime":819.54,"body":"is unfortunately worn off. In"},{"speaker":"Aaron Boysen","startTime":819.54,"endTime":821.52,"body":"fact, saying that one of our new"},{"speaker":"Aaron Boysen","startTime":821.91,"endTime":824.04,"body":"dietetic assistant started, and"},{"speaker":"Aaron Boysen","startTime":824.04,"endTime":825.09,"body":"she mentioned that she didn't"},{"speaker":"Aaron Boysen","startTime":825.12,"endTime":827.73,"body":"realise how female dominated"},{"speaker":"Aaron Boysen","startTime":827.73,"endTime":829.5,"body":"dietetics was because there was"},{"speaker":"Aaron Boysen","startTime":829.5,"endTime":831.39,"body":"so many males in the office."},{"speaker":"Mike Patterson","startTime":833.4,"endTime":833.94,"body":"That novelty"},{"speaker":"Mike Patterson","startTime":833.94,"endTime":835.29,"body":"value. And they also think in"},{"speaker":"Mike Patterson","startTime":835.29,"endTime":836.22,"body":"terms of when you're a new band"},{"speaker":"Mike Patterson","startTime":836.22,"endTime":838.17,"body":"five, that probably is brand new"},{"speaker":"Mike Patterson","startTime":838.17,"endTime":839.73,"body":"f1, there's going to be brand"},{"speaker":"Mike Patterson","startTime":839.73,"endTime":841.29,"body":"new, brand new speech and"},{"speaker":"Mike Patterson","startTime":841.29,"endTime":842.79,"body":"language therapists all probably"},{"speaker":"Mike Patterson","startTime":842.82,"endTime":844.77,"body":"feel very similar. And I do tend"},{"speaker":"Mike Patterson","startTime":844.77,"endTime":846.96,"body":"to find like newer punk fives,"},{"speaker":"Mike Patterson","startTime":847.2,"endTime":849.84,"body":"newer therapists, newer doctors"},{"speaker":"Mike Patterson","startTime":849.84,"endTime":851.34,"body":"do tend to just end up chatting,"},{"speaker":"Mike Patterson","startTime":851.4,"endTime":853.02,"body":"I think similar age similar"},{"speaker":"Mike Patterson","startTime":853.02,"endTime":854.79,"body":"experiences tend to find a new"},{"speaker":"Mike Patterson","startTime":854.79,"endTime":856.8,"body":"start chapter. Also rotation, I"},{"speaker":"Mike Patterson","startTime":856.8,"endTime":858.33,"body":"think help as well. So if you"},{"speaker":"Mike Patterson","startTime":858.33,"endTime":859.86,"body":"know you're on a set reward for"},{"speaker":"Mike Patterson","startTime":859.92,"endTime":862.02,"body":"six 912 months, you do get to"},{"speaker":"Mike Patterson","startTime":862.05,"endTime":863.13,"body":"understand a little bit more"},{"speaker":"Mike Patterson","startTime":863.13,"endTime":864.51,"body":"they get to know you. And that"},{"speaker":"Mike Patterson","startTime":864.51,"endTime":865.11,"body":"really helped."},{"speaker":"Aaron Boysen","startTime":865.17,"endTime":866.1,"body":"I think by being"},{"speaker":"Aaron Boysen","startTime":866.1,"endTime":867.24,"body":"there for a longer amount of"},{"speaker":"Aaron Boysen","startTime":867.24,"endTime":869.76,"body":"time. It makes it easier for"},{"speaker":"Aaron Boysen","startTime":869.76,"endTime":871.56,"body":"people to invest in a"},{"speaker":"Aaron Boysen","startTime":871.56,"endTime":873.27,"body":"relationship, because you know"},{"speaker":"Aaron Boysen","startTime":873.27,"endTime":874.53,"body":"how long it's going to last?"},{"speaker":"Mike Patterson","startTime":874.56,"endTime":876.51,"body":"Yeah, like I"},{"speaker":"Mike Patterson","startTime":876.51,"endTime":878.07,"body":"always found if I'm going on to"},{"speaker":"Mike Patterson","startTime":878.07,"endTime":879.6,"body":"a new Ward and an Old Covenant,"},{"speaker":"Mike Patterson","startTime":879.66,"endTime":880.77,"body":"it's always good to go have a"},{"speaker":"Mike Patterson","startTime":880.77,"endTime":882.06,"body":"chat with water stuff, it's"},{"speaker":"Mike Patterson","startTime":882.15,"endTime":883.17,"body":"going to be there water while"},{"speaker":"Mike Patterson","startTime":883.17,"endTime":884.88,"body":"the charge less. It's there one"},{"speaker":"Mike Patterson","startTime":884.88,"endTime":886.14,"body":"so don't just introduce"},{"speaker":"Mike Patterson","startTime":886.14,"endTime":888.0,"body":"yourself, however awkward it may"},{"speaker":"Mike Patterson","startTime":888.0,"endTime":889.2,"body":"be and just say I'm going to be"},{"speaker":"Mike Patterson","startTime":889.2,"endTime":891.18,"body":"here for the next 912 months."},{"speaker":"Aaron Boysen","startTime":891.36,"endTime":892.41,"body":"So you've been"},{"speaker":"Aaron Boysen","startTime":892.41,"endTime":893.52,"body":"there yourself. You've been a"},{"speaker":"Aaron Boysen","startTime":893.52,"endTime":894.9,"body":"newly qualified been five"},{"speaker":"Aaron Boysen","startTime":894.9,"endTime":897.0,"body":"dietitian and now your F 10, a"},{"speaker":"Aaron Boysen","startTime":897.0,"endTime":898.98,"body":"phrase highly specialist"},{"speaker":"Aaron Boysen","startTime":899.04,"endTime":899.76,"body":"dietitian."},{"speaker":"Mike Patterson","startTime":900.719,"endTime":901.289,"body":"Knock on it."},{"speaker":"Aaron Boysen","startTime":901.379,"endTime":902.009,"body":"So you've seen it"},{"speaker":"Aaron Boysen","startTime":902.009,"endTime":903.929,"body":"from both sides. If you were"},{"speaker":"Aaron Boysen","startTime":903.929,"endTime":906.029,"body":"giving advice or if you were"},{"speaker":"Aaron Boysen","startTime":906.419,"endTime":908.399,"body":"sort of looking back, is there"},{"speaker":"Aaron Boysen","startTime":908.399,"endTime":909.479,"body":"any advice you would give to"},{"speaker":"Aaron Boysen","startTime":909.479,"endTime":911.069,"body":"yourself as a newly qualified"},{"speaker":"Aaron Boysen","startTime":911.069,"endTime":912.329,"body":"band, five dietitian,"},{"speaker":"Mike Patterson","startTime":912.569,"endTime":913.409,"body":"quite a few"},{"speaker":"Mike Patterson","startTime":913.409,"endTime":915.119,"body":"things. So going back to that"},{"speaker":"Mike Patterson","startTime":915.119,"endTime":916.739,"body":"point last, and I don't think we"},{"speaker":"Mike Patterson","startTime":916.739,"endTime":918.719,"body":"need to be mad, but I wish I"},{"speaker":"Mike Patterson","startTime":918.719,"endTime":920.489,"body":"just understood medicine that"},{"speaker":"Mike Patterson","startTime":920.489,"endTime":922.589,"body":"little bit better when it first"},{"speaker":"Mike Patterson","startTime":922.589,"endTime":924.599,"body":"came out. And I think probably"},{"speaker":"Mike Patterson","startTime":924.599,"endTime":925.709,"body":"is something that you pick up"},{"speaker":"Mike Patterson","startTime":925.889,"endTime":927.989,"body":"with experience. And as I said,"},{"speaker":"Mike Patterson","startTime":927.989,"endTime":929.189,"body":"going back to the physiology,"},{"speaker":"Mike Patterson","startTime":929.189,"endTime":929.969,"body":"having good knowledge of"},{"speaker":"Mike Patterson","startTime":930.059,"endTime":931.259,"body":"physiology, biochemistry will"},{"speaker":"Mike Patterson","startTime":931.259,"endTime":933.569,"body":"help do a refresher on that. So"},{"speaker":"Mike Patterson","startTime":933.569,"endTime":935.129,"body":"I think in terms of I wish we"},{"speaker":"Mike Patterson","startTime":935.129,"endTime":936.509,"body":"just had that little bit better"},{"speaker":"Mike Patterson","startTime":936.509,"endTime":938.489,"body":"knowledge of medicine, I just"},{"speaker":"Mike Patterson","startTime":938.489,"endTime":940.049,"body":"think it really, really helps in"},{"speaker":"Mike Patterson","startTime":940.049,"endTime":941.459,"body":"terms of getting you understand,"},{"speaker":"Mike Patterson","startTime":941.459,"endTime":942.719,"body":"and especially sort of when you"},{"speaker":"Mike Patterson","startTime":942.719,"endTime":944.369,"body":"first read medical notes of"},{"speaker":"Mike Patterson","startTime":944.369,"endTime":946.469,"body":"that, but the right thing, and I"},{"speaker":"Mike Patterson","startTime":946.469,"endTime":949.559,"body":"actually do them constantly on"},{"speaker":"Mike Patterson","startTime":949.559,"endTime":950.699,"body":"Google, like what does that"},{"speaker":"Mike Patterson","startTime":950.699,"endTime":952.319,"body":"mean? What does that mean? What"},{"speaker":"Mike Patterson","startTime":952.319,"endTime":953.279,"body":"does that mean? But again, it"},{"speaker":"Mike Patterson","startTime":953.279,"endTime":953.999,"body":"probably just comes with"},{"speaker":"Mike Patterson","startTime":953.999,"endTime":955.829,"body":"experience, again, this point"},{"speaker":"Mike Patterson","startTime":955.859,"endTime":957.479,"body":"and massively biassed towards"},{"speaker":"Mike Patterson","startTime":957.509,"endTime":960.809,"body":"but research skills. We do do"},{"speaker":"Mike Patterson","startTime":961.019,"endTime":963.089,"body":"research as an undergrad, as"},{"speaker":"Mike Patterson","startTime":963.089,"endTime":964.469,"body":"opposed to graph, but I think it"},{"speaker":"Mike Patterson","startTime":964.499,"endTime":965.699,"body":"could be improved that little"},{"speaker":"Mike Patterson","startTime":965.699,"endTime":967.709,"body":"bit more. Especially it's not"},{"speaker":"Mike Patterson","startTime":967.709,"endTime":969.869,"body":"like a critical thinking skills."},{"speaker":"Mike Patterson","startTime":970.049,"endTime":971.579,"body":"I think for me, when you improve"},{"speaker":"Mike Patterson","startTime":971.579,"endTime":972.809,"body":"your critical thinking skill to"},{"speaker":"Mike Patterson","startTime":972.809,"endTime":974.099,"body":"problem solving becomes that"},{"speaker":"Mike Patterson","startTime":974.099,"endTime":976.079,"body":"much better matches think it"},{"speaker":"Mike Patterson","startTime":976.079,"endTime":977.519,"body":"allows you to break things down"},{"speaker":"Mike Patterson","startTime":977.549,"endTime":978.689,"body":"a little bit more. So yeah,"},{"speaker":"Mike Patterson","startTime":978.719,"endTime":980.729,"body":"having my personal perspective"},{"speaker":"Mike Patterson","startTime":980.729,"endTime":982.019,"body":"is that every dietitian would"},{"speaker":"Mike Patterson","startTime":982.019,"endTime":983.609,"body":"have to do some sort of research"},{"speaker":"Mike Patterson","startTime":983.609,"endTime":985.799,"body":"for a lot of people might not"},{"speaker":"Mike Patterson","startTime":985.799,"endTime":987.509,"body":"like it. But I just think it's"},{"speaker":"Mike Patterson","startTime":987.509,"endTime":989.069,"body":"really, really important as as a"},{"speaker":"Mike Patterson","startTime":989.069,"endTime":990.599,"body":"profession that we have a really"},{"speaker":"Mike Patterson","startTime":990.599,"endTime":991.949,"body":"good knowledge and understanding"},{"speaker":"Aaron Boysen","startTime":992.43,"endTime":993.03,"body":"of research"},{"speaker":"Aaron Boysen","startTime":993.03,"endTime":994.68,"body":"methodology. So in your mind,"},{"speaker":"Aaron Boysen","startTime":994.68,"endTime":995.97,"body":"what would the benefit of those"},{"speaker":"Aaron Boysen","startTime":995.97,"endTime":997.41,"body":"research skills be?"},{"speaker":"Mike Patterson","startTime":997.62,"endTime":998.52,"body":"Because in terms"},{"speaker":"Mike Patterson","startTime":998.52,"endTime":1000.29,"body":"of I think a lot of the times"},{"speaker":"Mike Patterson","startTime":1000.32,"endTime":1002.69,"body":"the way that huge generalisation"},{"speaker":"Mike Patterson","startTime":1002.72,"endTime":1004.16,"body":"is that sort of be quite happy"},{"speaker":"Mike Patterson","startTime":1004.16,"endTime":1006.26,"body":"to offer guideline below, right."},{"speaker":"Mike Patterson","startTime":1006.32,"endTime":1007.52,"body":"That's what the guideline says,"},{"speaker":"Mike Patterson","startTime":1007.58,"endTime":1008.66,"body":"This is what I'll do. Whereas I"},{"speaker":"Mike Patterson","startTime":1008.66,"endTime":1009.68,"body":"think if you have that little"},{"speaker":"Mike Patterson","startTime":1009.68,"endTime":1011.51,"body":"bit better knowledge of research"},{"speaker":"Mike Patterson","startTime":1011.51,"endTime":1013.91,"body":"methodology know how to find an"},{"speaker":"Mike Patterson","startTime":1013.91,"endTime":1015.17,"body":"interesting, perfect because the"},{"speaker":"Mike Patterson","startTime":1015.17,"endTime":1016.46,"body":"evidence base is constantly"},{"speaker":"Mike Patterson","startTime":1016.46,"endTime":1017.75,"body":"evolving in nutrition and"},{"speaker":"Mike Patterson","startTime":1017.75,"endTime":1019.1,"body":"dietetics. There's a lot of"},{"speaker":"Mike Patterson","startTime":1019.1,"endTime":1020.75,"body":"areas where there isn't a great"},{"speaker":"Mike Patterson","startTime":1020.75,"endTime":1022.34,"body":"evidence base. But if you just"},{"speaker":"Mike Patterson","startTime":1022.34,"endTime":1023.6,"body":"have that little bit more of a"},{"speaker":"Mike Patterson","startTime":1023.6,"endTime":1024.77,"body":"reshot skill, you might be able"},{"speaker":"Mike Patterson","startTime":1024.77,"endTime":1026.48,"body":"to find something or even if"},{"speaker":"Mike Patterson","startTime":1026.48,"endTime":1027.53,"body":"it's something quite small, like"},{"speaker":"Mike Patterson","startTime":1027.53,"endTime":1029.51,"body":"a case study or a little case"},{"speaker":"Mike Patterson","startTime":1029.51,"endTime":1031.19,"body":"series of patients, you might"},{"speaker":"Mike Patterson","startTime":1031.19,"endTime":1032.57,"body":"then be able to apply something"},{"speaker":"Mike Patterson","startTime":1032.57,"endTime":1034.07,"body":"like that to your practice, is"},{"speaker":"Mike Patterson","startTime":1034.07,"endTime":1034.88,"body":"that there's not really an"},{"speaker":"Mike Patterson","startTime":1034.88,"endTime":1036.89,"body":"evidence base, but I found this,"},{"speaker":"Mike Patterson","startTime":1036.89,"endTime":1038.21,"body":"this and this. So I'm going to"},{"speaker":"Mike Patterson","startTime":1038.21,"endTime":1040.1,"body":"try this in my practice. And as"},{"speaker":"Mike Patterson","startTime":1040.1,"endTime":1041.27,"body":"long as it's safe, that's what"},{"speaker":"Mike Patterson","startTime":1041.27,"endTime":1042.23,"body":"you're causing no harm you can"},{"speaker":"Mike Patterson","startTime":1042.23,"endTime":1043.37,"body":"sell, why are you doing that?"},{"speaker":"Mike Patterson","startTime":1043.37,"endTime":1045.02,"body":"Well, I found this and some"},{"speaker":"Mike Patterson","startTime":1045.14,"endTime":1046.13,"body":"people have had a bit of"},{"speaker":"Mike Patterson","startTime":1046.13,"endTime":1047.27,"body":"success, there's no evidence"},{"speaker":"Mike Patterson","startTime":1047.27,"endTime":1048.74,"body":"that can go off anywhere. So I"},{"speaker":"Mike Patterson","startTime":1048.74,"endTime":1050.06,"body":"might as well try this, and then"},{"speaker":"Mike Patterson","startTime":1050.09,"endTime":1051.71,"body":"that'll monitor it, and go from"},{"speaker":"Mike Patterson","startTime":1051.71,"endTime":1053.57,"body":"there. And again, methodology, I"},{"speaker":"Mike Patterson","startTime":1053.57,"endTime":1054.53,"body":"think it's something that's"},{"speaker":"Mike Patterson","startTime":1054.53,"endTime":1056.15,"body":"really, really important in"},{"speaker":"Mike Patterson","startTime":1056.15,"endTime":1057.74,"body":"terms of like when you read in"},{"speaker":"Mike Patterson","startTime":1057.74,"endTime":1059.39,"body":"the paper, and most people read"},{"speaker":"Mike Patterson","startTime":1059.39,"endTime":1060.65,"body":"an abstract that might go to the"},{"speaker":"Mike Patterson","startTime":1060.65,"endTime":1063.26,"body":"results. Because this site will"},{"speaker":"Mike Patterson","startTime":1063.32,"endTime":1064.79,"body":"go through the methodology fast,"},{"speaker":"Mike Patterson","startTime":1064.82,"endTime":1065.84,"body":"obviously, because of the"},{"speaker":"Mike Patterson","startTime":1065.84,"endTime":1067.16,"body":"methodology, see whether it's"},{"speaker":"Mike Patterson","startTime":1067.16,"endTime":1068.42,"body":"good or bad, and you can go from"},{"speaker":"Mike Patterson","startTime":1068.42,"endTime":1069.26,"body":"there, then you can look at the"},{"speaker":"Mike Patterson","startTime":1069.26,"endTime":1070.94,"body":"results in the discussion. So my"},{"speaker":"Mike Patterson","startTime":1070.94,"endTime":1072.5,"body":"supervisor said to me, pretty"},{"speaker":"Mike Patterson","startTime":1072.5,"endTime":1074.12,"body":"much when looking at purpose,"},{"speaker":"Mike Patterson","startTime":1074.3,"endTime":1075.74,"body":"just look at the methodology and"},{"speaker":"Mike Patterson","startTime":1075.74,"endTime":1076.64,"body":"the discussion. So the"},{"speaker":"Mike Patterson","startTime":1076.64,"endTime":1077.66,"body":"methodology will tell you"},{"speaker":"Mike Patterson","startTime":1077.69,"endTime":1078.71,"body":"whether what they've done is"},{"speaker":"Mike Patterson","startTime":1078.74,"endTime":1080.18,"body":"good or bad. And the discussion"},{"speaker":"Mike Patterson","startTime":1080.18,"endTime":1081.26,"body":"is, they should hopefully tell"},{"speaker":"Mike Patterson","startTime":1081.26,"endTime":1082.49,"body":"you what they've done good or"},{"speaker":"Mike Patterson","startTime":1082.49,"endTime":1084.14,"body":"bad, and what is good. What"},{"speaker":"Mike Patterson","startTime":1084.14,"endTime":1085.58,"body":"about it's bad topic. So having"},{"speaker":"Mike Patterson","startTime":1085.64,"endTime":1086.75,"body":"that good understanding the"},{"speaker":"Mike Patterson","startTime":1086.75,"endTime":1088.19,"body":"methodology, social media really"},{"speaker":"Mike Patterson","startTime":1088.19,"endTime":1088.64,"body":"helps."},{"speaker":"Aaron Boysen","startTime":1089.42,"endTime":1091.1,"body":"Thank you. That"},{"speaker":"Aaron Boysen","startTime":1091.1,"endTime":1092.36,"body":"was actually first pointed out"},{"speaker":"Aaron Boysen","startTime":1092.36,"endTime":1093.89,"body":"to me when I was on non clinical"},{"speaker":"Aaron Boysen","startTime":1093.89,"endTime":1095.9,"body":"placement, I was working with"},{"speaker":"Aaron Boysen","startTime":1095.9,"endTime":1098.09,"body":"some PhD students, they had a"},{"speaker":"Aaron Boysen","startTime":1098.09,"endTime":1099.92,"body":"journal club, a couple of lunch"},{"speaker":"Aaron Boysen","startTime":1099.92,"endTime":1101.06,"body":"times a week, and they invited"},{"speaker":"Aaron Boysen","startTime":1101.06,"endTime":1102.59,"body":"me along to it. And that was one"},{"speaker":"Aaron Boysen","startTime":1102.59,"endTime":1103.79,"body":"of the tips they gave me to"},{"speaker":"Aaron Boysen","startTime":1103.79,"endTime":1105.14,"body":"really understand the quality of"},{"speaker":"Aaron Boysen","startTime":1105.14,"endTime":1106.49,"body":"the research that was reading"},{"speaker":"Aaron Boysen","startTime":1106.79,"endTime":1107.96,"body":"the methods was the most"},{"speaker":"Aaron Boysen","startTime":1107.96,"endTime":1109.94,"body":"important area. And I think from"},{"speaker":"Aaron Boysen","startTime":1109.94,"endTime":1111.44,"body":"then on, it was really eye"},{"speaker":"Aaron Boysen","startTime":1111.44,"endTime":1112.79,"body":"opening to me when I read"},{"speaker":"Aaron Boysen","startTime":1112.79,"endTime":1115.64,"body":"research to sort of the results"},{"speaker":"Aaron Boysen","startTime":1115.64,"endTime":1117.08,"body":"can be quite appealing. But it"},{"speaker":"Aaron Boysen","startTime":1117.08,"endTime":1119.0,"body":"is the methods make or break an"},{"speaker":"Aaron Boysen","startTime":1119.0,"endTime":1120.62,"body":"article from research,"},{"speaker":"Mike Patterson","startTime":1121.19,"endTime":1121.88,"body":"especially sort"},{"speaker":"Mike Patterson","startTime":1121.88,"endTime":1123.44,"body":"of who have done the research on"},{"speaker":"Mike Patterson","startTime":1123.44,"endTime":1124.46,"body":"it really, really helps. So you"},{"speaker":"Mike Patterson","startTime":1124.46,"endTime":1125.99,"body":"might find like someone might be"},{"speaker":"Mike Patterson","startTime":1125.99,"endTime":1127.76,"body":"caught in set guideline. But"},{"speaker":"Mike Patterson","startTime":1127.76,"endTime":1128.63,"body":"then when you actually look at"},{"speaker":"Mike Patterson","startTime":1128.63,"endTime":1130.82,"body":"the guideline, it might be our"},{"speaker":"Mike Patterson","startTime":1130.82,"endTime":1133.19,"body":"the evidence base is based on 18"},{"speaker":"Mike Patterson","startTime":1133.19,"endTime":1135.59,"body":"year old males who have got a"},{"speaker":"Mike Patterson","startTime":1135.62,"endTime":1137.51,"body":"normal BMI, and you've got a"},{"speaker":"Mike Patterson","startTime":1137.51,"endTime":1140.27,"body":"female who's BMI 14 from here,"},{"speaker":"Mike Patterson","startTime":1140.3,"endTime":1141.14,"body":"but you're following that"},{"speaker":"Mike Patterson","startTime":1141.14,"endTime":1142.04,"body":"guideline, because it's so"},{"speaker":"Mike Patterson","startTime":1142.04,"endTime":1143.48,"body":"generic white, if you've got a"},{"speaker":"Mike Patterson","startTime":1143.48,"endTime":1145.01,"body":"good standard methodology and"},{"speaker":"Mike Patterson","startTime":1145.01,"endTime":1146.63,"body":"look at the guidelines says"},{"speaker":"Mike Patterson","startTime":1146.63,"endTime":1147.8,"body":"that, but when actually look,"},{"speaker":"Mike Patterson","startTime":1147.8,"endTime":1150.11,"body":"it's not relevant to my patient"},{"speaker":"Mike Patterson","startTime":1150.11,"endTime":1152.12,"body":"population whatsoever. And if"},{"speaker":"Mike Patterson","startTime":1152.12,"endTime":1153.23,"body":"you don't have that sort of"},{"speaker":"Mike Patterson","startTime":1153.23,"endTime":1154.4,"body":"critical thinking skills, you"},{"speaker":"Mike Patterson","startTime":1154.4,"endTime":1155.69,"body":"might spell the guidelines as"},{"speaker":"Mike Patterson","startTime":1155.69,"endTime":1157.22,"body":"that. Whereas if you have that"},{"speaker":"Mike Patterson","startTime":1157.22,"endTime":1158.39,"body":"little bit of delving into"},{"speaker":"Mike Patterson","startTime":1158.39,"endTime":1159.98,"body":"papers and thinking, Well, you"},{"speaker":"Mike Patterson","startTime":1159.98,"endTime":1161.99,"body":"know, or even if this sort of"},{"speaker":"Mike Patterson","startTime":1161.99,"endTime":1163.55,"body":"papers that are very similar to"},{"speaker":"Mike Patterson","startTime":1163.55,"endTime":1164.69,"body":"your patient population, you"},{"speaker":"Mike Patterson","startTime":1164.69,"endTime":1165.98,"body":"might say, well, there's not"},{"speaker":"Mike Patterson","startTime":1165.98,"endTime":1167.39,"body":"really much of an evidence base,"},{"speaker":"Mike Patterson","startTime":1167.45,"endTime":1169.58,"body":"but this pair back looked at a"},{"speaker":"Mike Patterson","startTime":1169.58,"endTime":1170.84,"body":"patient population group are"},{"speaker":"Mike Patterson","startTime":1170.87,"endTime":1172.28,"body":"very similar. So I'm going to"},{"speaker":"Mike Patterson","startTime":1172.28,"endTime":1173.96,"body":"sort of use that as a basis"},{"speaker":"Mike Patterson","startTime":1174.38,"endTime":1176.03,"body":"angle from that, I think sort of"},{"speaker":"Mike Patterson","startTime":1176.87,"endTime":1178.79,"body":"evidence based practice is"},{"speaker":"Mike Patterson","startTime":1178.82,"endTime":1180.26,"body":"looking at best available"},{"speaker":"Mike Patterson","startTime":1180.26,"endTime":1182.0,"body":"evidence. So if you can then"},{"speaker":"Mike Patterson","startTime":1182.39,"endTime":1183.65,"body":"work out what is the best"},{"speaker":"Mike Patterson","startTime":1183.65,"endTime":1185.24,"body":"available evidence, you can sort"},{"speaker":"Mike Patterson","startTime":1185.24,"endTime":1186.74,"body":"of go from there. Thank you. I"},{"speaker":"Aaron Boysen","startTime":1186.74,"endTime":1187.25,"body":"think that's so"},{"speaker":"Aaron Boysen","startTime":1187.25,"endTime":1188.99,"body":"important to understand, not"},{"speaker":"Aaron Boysen","startTime":1188.99,"endTime":1190.91,"body":"only the guideline, actually"},{"speaker":"Aaron Boysen","startTime":1190.91,"endTime":1192.38,"body":"what that guideline is based on"},{"speaker":"Aaron Boysen","startTime":1192.41,"endTime":1193.88,"body":"because it can really inform our"},{"speaker":"Aaron Boysen","startTime":1193.88,"endTime":1195.68,"body":"practice. And I think there's"},{"speaker":"Aaron Boysen","startTime":1195.68,"endTime":1197.54,"body":"lots of talk about guidelines"},{"speaker":"Aaron Boysen","startTime":1197.54,"endTime":1199.61,"body":"are just guidelines, but how can"},{"speaker":"Aaron Boysen","startTime":1199.61,"endTime":1200.75,"body":"you really Understand the"},{"speaker":"Aaron Boysen","startTime":1200.75,"endTime":1203.36,"body":"guideline enough to use it as a"},{"speaker":"Aaron Boysen","startTime":1203.36,"endTime":1204.35,"body":"guideline, if you don't"},{"speaker":"Aaron Boysen","startTime":1204.35,"endTime":1206.03,"body":"understand what underpins it, if"},{"speaker":"Aaron Boysen","startTime":1206.03,"endTime":1206.78,"body":"you don't understand the"},{"speaker":"Aaron Boysen","startTime":1206.78,"endTime":1207.92,"body":"strength of the evidence, the"},{"speaker":"Aaron Boysen","startTime":1207.92,"endTime":1210.29,"body":"limitations of that evidence in"},{"speaker":"Aaron Boysen","startTime":1210.29,"endTime":1211.88,"body":"your patient cohort, I mean, if"},{"speaker":"Aaron Boysen","startTime":1211.88,"endTime":1213.11,"body":"you don't actually understand"},{"speaker":"Aaron Boysen","startTime":1213.11,"endTime":1214.25,"body":"the guidance, there's only two"},{"speaker":"Aaron Boysen","startTime":1214.25,"endTime":1216.29,"body":"ways to follow it. Follow it"},{"speaker":"Aaron Boysen","startTime":1216.29,"endTime":1218.21,"body":"with exactness or whimsically"},{"speaker":"Aaron Boysen","startTime":1218.21,"endTime":1219.53,"body":"break it comes from Yeah, you"},{"speaker":"Aaron Boysen","startTime":1219.53,"endTime":1221.09,"body":"almost need to know the rules."},{"speaker":"Aaron Boysen","startTime":1221.12,"endTime":1222.41,"body":"In order to break the rules"},{"speaker":"Aaron Boysen","startTime":1222.41,"endTime":1223.67,"body":"effectively, you need to know"},{"speaker":"Aaron Boysen","startTime":1223.67,"endTime":1225.5,"body":"what the guidelines is based on"},{"speaker":"Aaron Boysen","startTime":1225.68,"endTime":1227.06,"body":"to know that it doesn't fit your"},{"speaker":"Aaron Boysen","startTime":1227.06,"endTime":1228.86,"body":"patient population, because if"},{"speaker":"Aaron Boysen","startTime":1228.86,"endTime":1230.87,"body":"you don't know you're based on"},{"speaker":"Aaron Boysen","startTime":1230.9,"endTime":1233.45,"body":"sort of whimsical feelings, and"},{"speaker":"Aaron Boysen","startTime":1233.45,"endTime":1235.16,"body":"not based on evidence,"},{"speaker":"Mike Patterson","startTime":1235.28,"endTime":1235.76,"body":"yeah,"},{"speaker":"Mike Patterson","startTime":1235.79,"endTime":1237.47,"body":"definitely. And when you look at"},{"speaker":"Mike Patterson","startTime":1237.5,"endTime":1239.6,"body":"evidence based practice is sort"},{"speaker":"Mike Patterson","startTime":1239.6,"endTime":1241.34,"body":"of looking at the evidence base"},{"speaker":"Mike Patterson","startTime":1241.37,"endTime":1243.95,"body":"clinical experience, and also"},{"speaker":"Mike Patterson","startTime":1244.04,"endTime":1245.69,"body":"the patient's perspective,"},{"speaker":"Mike Patterson","startTime":1245.69,"endTime":1246.62,"body":"because you might have the best"},{"speaker":"Mike Patterson","startTime":1246.62,"endTime":1247.73,"body":"evidence base in the world for"},{"speaker":"Mike Patterson","startTime":1247.73,"endTime":1248.96,"body":"something. And you might have"},{"speaker":"Mike Patterson","startTime":1248.96,"endTime":1250.19,"body":"the best clinical experience."},{"speaker":"Mike Patterson","startTime":1250.19,"endTime":1251.24,"body":"But if the patient doesn't want"},{"speaker":"Mike Patterson","startTime":1251.24,"endTime":1253.73,"body":"to do also, it's not suitable to"},{"speaker":"Mike Patterson","startTime":1253.73,"endTime":1254.9,"body":"the attention, it's not going to"},{"speaker":"Mike Patterson","startTime":1254.9,"endTime":1256.7,"body":"be going anywhere. Even when you"},{"speaker":"Mike Patterson","startTime":1256.7,"endTime":1257.93,"body":"look at these best practices,"},{"speaker":"Mike Patterson","startTime":1257.93,"endTime":1259.43,"body":"then three things, you need the"},{"speaker":"Mike Patterson","startTime":1259.43,"endTime":1260.93,"body":"best available evidence,"},{"speaker":"Mike Patterson","startTime":1261.14,"endTime":1262.34,"body":"whatever that may be, you're not"},{"speaker":"Mike Patterson","startTime":1262.34,"endTime":1264.26,"body":"always going to get an amazing"},{"speaker":"Mike Patterson","startTime":1264.35,"endTime":1266.39,"body":"RCT that tells you this, you"},{"speaker":"Mike Patterson","startTime":1266.39,"endTime":1267.5,"body":"need to sort of see what from"},{"speaker":"Mike Patterson","startTime":1267.5,"endTime":1268.61,"body":"your clinical experience,"},{"speaker":"Mike Patterson","startTime":1268.61,"endTime":1269.57,"body":"whether you've tried something"},{"speaker":"Mike Patterson","startTime":1269.57,"endTime":1271.16,"body":"before, what your patient"},{"speaker":"Mike Patterson","startTime":1271.16,"endTime":1272.63,"body":"population, whether you've seen"},{"speaker":"Mike Patterson","startTime":1272.63,"endTime":1273.74,"body":"sort of something similar in"},{"speaker":"Mike Patterson","startTime":1273.74,"endTime":1274.91,"body":"this patient population group"},{"speaker":"Mike Patterson","startTime":1274.91,"endTime":1276.77,"body":"before, and also what, what the"},{"speaker":"Mike Patterson","startTime":1276.77,"endTime":1278.12,"body":"patient wants to do. Thank you."},{"speaker":"Aaron Boysen","startTime":1278.12,"endTime":1278.51,"body":"I think that's"},{"speaker":"Aaron Boysen","startTime":1278.51,"endTime":1279.74,"body":"really important things that"},{"speaker":"Aaron Boysen","startTime":1279.74,"endTime":1281.39,"body":"we'll discuss there. Now in your"},{"speaker":"Aaron Boysen","startTime":1281.39,"endTime":1283.34,"body":"Twitter thread you also mention"},{"speaker":"Aaron Boysen","startTime":1283.43,"endTime":1285.08,"body":"about anthropometric"},{"speaker":"Aaron Boysen","startTime":1285.08,"endTime":1286.55,"body":"measurements that are not"},{"speaker":"Aaron Boysen","startTime":1286.55,"endTime":1288.2,"body":"weight, what measurements were"},{"speaker":"Aaron Boysen","startTime":1288.2,"endTime":1290.24,"body":"you referring to? And how are"},{"speaker":"Aaron Boysen","startTime":1290.24,"endTime":1290.9,"body":"they useful?"},{"speaker":"Mike Patterson","startTime":1290.96,"endTime":1292.04,"body":"So they were"},{"speaker":"Mike Patterson","startTime":1292.07,"endTime":1293.72,"body":"obviously that is a really"},{"speaker":"Mike Patterson","startTime":1293.72,"endTime":1295.31,"body":"useful tool to start off with."},{"speaker":"Mike Patterson","startTime":1295.46,"endTime":1297.77,"body":"And I think either iron software"},{"speaker":"Mike Patterson","startTime":1297.89,"endTime":1300.32,"body":"is really useful, but where it"},{"speaker":"Mike Patterson","startTime":1300.32,"endTime":1303.08,"body":"can be manipulated, so much. So"},{"speaker":"Mike Patterson","startTime":1303.41,"endTime":1305.3,"body":"outside of clinical practice, I"},{"speaker":"Mike Patterson","startTime":1305.33,"endTime":1307.25,"body":"tie box, so I used to sort of"},{"speaker":"Mike Patterson","startTime":1307.28,"endTime":1308.6,"body":"compete a little bit, but now I"},{"speaker":"Mike Patterson","startTime":1308.6,"endTime":1310.1,"body":"just do coaching, I work with"},{"speaker":"Mike Patterson","startTime":1310.1,"endTime":1311.93,"body":"some athletes that currently, so"},{"speaker":"Mike Patterson","startTime":1311.93,"endTime":1314.39,"body":"merely MMA fighters, and work on"},{"speaker":"Mike Patterson","startTime":1314.39,"endTime":1316.85,"body":"procedures. So in terms of"},{"speaker":"Mike Patterson","startTime":1316.94,"endTime":1318.38,"body":"professionally, you can find"},{"speaker":"Mike Patterson","startTime":1318.38,"endTime":1321.32,"body":"people who lose 6789 kilos in a"},{"speaker":"Mike Patterson","startTime":1321.32,"endTime":1323.12,"body":"week overnight, so weight can be"},{"speaker":"Mike Patterson","startTime":1323.15,"endTime":1324.62,"body":"manipulated that easy. So"},{"speaker":"Mike Patterson","startTime":1324.65,"endTime":1325.55,"body":"basically put someone on a"},{"speaker":"Mike Patterson","startTime":1325.55,"endTime":1326.93,"body":"really, really low carbohydrate"},{"speaker":"Mike Patterson","startTime":1326.96,"endTime":1328.64,"body":"diet, dehydration them a little"},{"speaker":"Mike Patterson","startTime":1328.64,"endTime":1330.41,"body":"bit. So you've lost the glycogen"},{"speaker":"Mike Patterson","startTime":1330.41,"endTime":1331.79,"body":"stores, you've lost the water"},{"speaker":"Mike Patterson","startTime":1331.79,"endTime":1332.99,"body":"attached to that, under the"},{"speaker":"Mike Patterson","startTime":1332.99,"endTime":1335.12,"body":"hydrated. So has someone lost"},{"speaker":"Mike Patterson","startTime":1335.15,"endTime":1337.19,"body":"seven kilos overnight on just"},{"speaker":"Mike Patterson","startTime":1337.19,"endTime":1338.18,"body":"the hydrated and it can be"},{"speaker":"Mike Patterson","startTime":1338.18,"endTime":1339.26,"body":"similar in terms of clinical"},{"speaker":"Mike Patterson","startTime":1339.26,"endTime":1340.85,"body":"perspective. So and this is feed"},{"speaker":"Mike Patterson","startTime":1340.85,"endTime":1343.28,"body":"for a couple of days, not the"},{"speaker":"Mike Patterson","startTime":1343.28,"endTime":1345.53,"body":"right IVs to correct it may have"},{"speaker":"Mike Patterson","startTime":1345.53,"endTime":1347.75,"body":"lost four kilos, but might not"},{"speaker":"Mike Patterson","startTime":1347.75,"endTime":1348.83,"body":"have lost four kilos because"},{"speaker":"Mike Patterson","startTime":1348.83,"endTime":1350.51,"body":"they're just really, really dry."},{"speaker":"Mike Patterson","startTime":1350.57,"endTime":1351.56,"body":"So if you have a good on Sunday"},{"speaker":"Mike Patterson","startTime":1351.56,"endTime":1352.88,"body":"biochemistry, look at a blood"},{"speaker":"Mike Patterson","startTime":1352.88,"endTime":1354.02,"body":"sample, I have not lost four"},{"speaker":"Mike Patterson","startTime":1354.02,"endTime":1355.49,"body":"kilos that just really dry. And"},{"speaker":"Mike Patterson","startTime":1355.49,"endTime":1356.6,"body":"the other end of the spectrum,"},{"speaker":"Mike Patterson","startTime":1356.69,"endTime":1357.92,"body":"there's so many conditions that"},{"speaker":"Mike Patterson","startTime":1357.92,"endTime":1359.72,"body":"we look at where there's going"},{"speaker":"Mike Patterson","startTime":1359.72,"endTime":1361.31,"body":"to be some aspect of fluid"},{"speaker":"Mike Patterson","startTime":1361.31,"endTime":1363.26,"body":"retention. So renal patients,"},{"speaker":"Mike Patterson","startTime":1363.32,"endTime":1364.67,"body":"that's number of real patients"},{"speaker":"Mike Patterson","startTime":1364.67,"endTime":1365.63,"body":"are going to be fluid"},{"speaker":"Mike Patterson","startTime":1365.63,"endTime":1366.89,"body":"overloaded. One of the reasons"},{"speaker":"Mike Patterson","startTime":1366.95,"endTime":1368.48,"body":"for dialysis, heart failure"},{"speaker":"Mike Patterson","startTime":1368.48,"endTime":1370.28,"body":"patients going to be massively"},{"speaker":"Mike Patterson","startTime":1370.28,"endTime":1371.81,"body":"fluid overload. If you look at"},{"speaker":"Mike Patterson","startTime":1371.87,"endTime":1373.58,"body":"liver patients that might have"},{"speaker":"Mike Patterson","startTime":1374.63,"endTime":1377.3,"body":"1516 1718 kilos worth of the"},{"speaker":"Mike Patterson","startTime":1377.3,"endTime":1378.77,"body":"sizes in there, even from my"},{"speaker":"Mike Patterson","startTime":1378.77,"endTime":1380.39,"body":"side of things and surgical"},{"speaker":"Mike Patterson","startTime":1380.39,"endTime":1381.74,"body":"patients, vast majority of"},{"speaker":"Mike Patterson","startTime":1381.74,"endTime":1383.57,"body":"surgical patients get some fluid"},{"speaker":"Mike Patterson","startTime":1383.57,"endTime":1385.34,"body":"retention after surgery. Well,"},{"speaker":"Mike Patterson","startTime":1385.34,"endTime":1387.02,"body":"the first thing I got taught as"},{"speaker":"Mike Patterson","startTime":1387.02,"endTime":1388.97,"body":"a surgical dietitian is after"},{"speaker":"Mike Patterson","startTime":1388.97,"endTime":1390.08,"body":"surgery, make sure you look at"},{"speaker":"Mike Patterson","startTime":1390.08,"endTime":1391.43,"body":"the legs, make sure you say is"},{"speaker":"Mike Patterson","startTime":1391.49,"endTime":1392.27,"body":"right for the squeeze your"},{"speaker":"Mike Patterson","startTime":1392.27,"endTime":1393.44,"body":"ankles, because more often than"},{"speaker":"Mike Patterson","startTime":1393.44,"endTime":1394.07,"body":"not, they're going to have"},{"speaker":"Mike Patterson","startTime":1394.07,"endTime":1395.45,"body":"somebody on the legs, you might"},{"speaker":"Mike Patterson","startTime":1395.45,"endTime":1396.14,"body":"have a lot of squeezing their"},{"speaker":"Mike Patterson","startTime":1396.14,"endTime":1396.98,"body":"ankle, right? Yeah, that's"},{"speaker":"Mike Patterson","startTime":1396.98,"endTime":1398.45,"body":"probably this is why we're it's"},{"speaker":"Mike Patterson","startTime":1398.45,"endTime":1399.89,"body":"often not the greatest because"},{"speaker":"Mike Patterson","startTime":1399.89,"endTime":1401.06,"body":"there's so many different"},{"speaker":"Mike Patterson","startTime":1401.06,"endTime":1402.23,"body":"conditions where you can get"},{"speaker":"Mike Patterson","startTime":1402.23,"endTime":1403.37,"body":"fluid retention, you might get"},{"speaker":"Mike Patterson","startTime":1403.37,"endTime":1404.78,"body":"excited, and it's just going to"},{"speaker":"Mike Patterson","startTime":1405.23,"endTime":1406.76,"body":"mask what's happening. So some"},{"speaker":"Mike Patterson","startTime":1406.76,"endTime":1408.2,"body":"of them really, really easy ones"},{"speaker":"Mike Patterson","startTime":1408.32,"endTime":1410.69,"body":"a minute params confirms triceps"},{"speaker":"Mike Patterson","startTime":1410.69,"endTime":1412.22,"body":"skinfold, calf circumference,"},{"speaker":"Mike Patterson","startTime":1412.25,"endTime":1413.48,"body":"grip strength, they're all"},{"speaker":"Mike Patterson","startTime":1413.99,"endTime":1415.34,"body":"relatively cheap, pretty"},{"speaker":"Mike Patterson","startTime":1415.34,"endTime":1417.41,"body":"convenient. They're not to sort"},{"speaker":"Mike Patterson","startTime":1417.41,"endTime":1419.12,"body":"of invest if I know some"},{"speaker":"Mike Patterson","startTime":1419.12,"endTime":1421.13,"body":"universities do do isaaq"},{"speaker":"Mike Patterson","startTime":1421.13,"endTime":1422.6,"body":"accreditation. This is another"},{"speaker":"Mike Patterson","startTime":1422.6,"endTime":1423.83,"body":"thing that I wish I was taught"},{"speaker":"Mike Patterson","startTime":1423.83,"endTime":1425.39,"body":"more citations. I wish that"},{"speaker":"Mike Patterson","startTime":1425.39,"endTime":1426.92,"body":"every university made sure that"},{"speaker":"Mike Patterson","startTime":1426.95,"endTime":1428.03,"body":"every dietitian that came out"},{"speaker":"Mike Patterson","startTime":1428.03,"endTime":1429.8,"body":"uni had isaaq Would you mind"},{"speaker":"Aaron Boysen","startTime":1429.8,"endTime":1430.4,"body":"explaining what"},{"speaker":"Aaron Boysen","startTime":1430.4,"endTime":1432.38,"body":"isaaq is for those who maybe"},{"speaker":"Aaron Boysen","startTime":1432.38,"endTime":1432.92,"body":"aren't aware."},{"speaker":"Mike Patterson","startTime":1433.13,"endTime":1433.46,"body":"So the"},{"speaker":"Mike Patterson","startTime":1433.46,"endTime":1434.72,"body":"International Society for the"},{"speaker":"Mike Patterson","startTime":1434.72,"endTime":1436.49,"body":"advancement that kind of"},{"speaker":"Mike Patterson","startTime":1436.49,"endTime":1438.47,"body":"anthropometry so because the"},{"speaker":"Mike Patterson","startTime":1438.47,"endTime":1440.54,"body":"level three you can teach, but"},{"speaker":"Mike Patterson","startTime":1440.54,"endTime":1443.0,"body":"the level one does various"},{"speaker":"Mike Patterson","startTime":1443.21,"endTime":1445.37,"body":"measurements I would do to get"},{"speaker":"Mike Patterson","startTime":1445.37,"endTime":1446.81,"body":"my eyes at training in the"},{"speaker":"Mike Patterson","startTime":1446.81,"endTime":1448.19,"body":"middle of nowhere, but obviously"},{"speaker":"Mike Patterson","startTime":1448.19,"endTime":1449.63,"body":"there is a small pandemic"},{"speaker":"Mike Patterson","startTime":1449.63,"endTime":1452.81,"body":"happening. So as a level one you"},{"speaker":"Mike Patterson","startTime":1452.81,"endTime":1455.21,"body":"do satin bone calf measurements"},{"speaker":"Mike Patterson","startTime":1455.27,"endTime":1457.13,"body":"and set muscle thicknesses and"},{"speaker":"Mike Patterson","startTime":1457.13,"endTime":1458.66,"body":"also callipers. So it's just a"},{"speaker":"Mike Patterson","startTime":1458.66,"endTime":1460.52,"body":"way that you can assess them on"},{"speaker":"Mike Patterson","startTime":1460.55,"endTime":1462.38,"body":"body composition rather than"},{"speaker":"Mike Patterson","startTime":1462.38,"endTime":1464.45,"body":"just checking something to where"},{"speaker":"Mike Patterson","startTime":1464.54,"endTime":1466.1,"body":"you can then assess for things"},{"speaker":"Mike Patterson","startTime":1466.1,"endTime":1468.44,"body":"like muscle mass with the bone"},{"speaker":"Mike Patterson","startTime":1468.44,"endTime":1470.03,"body":"gas, trying to look at sort of"},{"speaker":"Mike Patterson","startTime":1470.03,"endTime":1471.38,"body":"what's more skeletal structure"},{"speaker":"Mike Patterson","startTime":1471.38,"endTime":1472.97,"body":"is mostly the callipers to look"},{"speaker":"Mike Patterson","startTime":1472.97,"endTime":1475.67,"body":"at. And it's just much easier"},{"speaker":"Mike Patterson","startTime":1475.67,"endTime":1477.44,"body":"method. So I think sort of you"},{"speaker":"Mike Patterson","startTime":1477.44,"endTime":1479.09,"body":"know, it'd be great if we could"},{"speaker":"Mike Patterson","startTime":1479.24,"endTime":1480.83,"body":"decks all our patients on the"},{"speaker":"Mike Patterson","startTime":1480.83,"endTime":1481.97,"body":"same deck same the same"},{"speaker":"Mike Patterson","startTime":1481.97,"endTime":1484.22,"body":"hydration tricks every time Not"},{"speaker":"Mike Patterson","startTime":1484.22,"endTime":1485.54,"body":"gonna happen. Probably not"},{"speaker":"Mike Patterson","startTime":1485.54,"endTime":1487.01,"body":"ethical to have access to"},{"speaker":"Mike Patterson","startTime":1487.01,"endTime":1488.12,"body":"everyone. But things like that"},{"speaker":"Mike Patterson","startTime":1488.15,"endTime":1489.89,"body":"are much easier, much more"},{"speaker":"Mike Patterson","startTime":1489.89,"endTime":1491.81,"body":"practical method of just getting"},{"speaker":"Mike Patterson","startTime":1491.81,"endTime":1493.28,"body":"an idea of what someone's body"},{"speaker":"Mike Patterson","startTime":1493.28,"endTime":1494.84,"body":"composition is actually doing."},{"speaker":"Mike Patterson","startTime":1494.96,"endTime":1497.54,"body":"And I think in terms of grip"},{"speaker":"Mike Patterson","startTime":1497.54,"endTime":1499.13,"body":"strength especially it's going"},{"speaker":"Mike Patterson","startTime":1499.13,"endTime":1500.63,"body":"to give you a look Get more"},{"speaker":"Mike Patterson","startTime":1500.69,"endTime":1502.76,"body":"functional data as well. So I"},{"speaker":"Mike Patterson","startTime":1502.76,"endTime":1504.77,"body":"found on through really good"},{"speaker":"Mike Patterson","startTime":1504.98,"endTime":1506.3,"body":"conversations with medics as"},{"speaker":"Mike Patterson","startTime":1506.3,"endTime":1507.95,"body":"well. So going back to the"},{"speaker":"Mike Patterson","startTime":1507.95,"endTime":1509.09,"body":"intestinal failure side of"},{"speaker":"Mike Patterson","startTime":1509.09,"endTime":1510.65,"body":"things, I had a guy with a high"},{"speaker":"Mike Patterson","startTime":1510.65,"endTime":1511.94,"body":"output stone that was on max"},{"speaker":"Mike Patterson","startTime":1511.94,"endTime":1514.73,"body":"meds to district him, and his"},{"speaker":"Mike Patterson","startTime":1514.73,"endTime":1515.69,"body":"weight was massively"},{"speaker":"Mike Patterson","startTime":1515.69,"endTime":1516.65,"body":"fluctuating. So it didn't"},{"speaker":"Mike Patterson","startTime":1516.65,"endTime":1518.39,"body":"actually look like he was losing"},{"speaker":"Mike Patterson","startTime":1518.39,"endTime":1520.31,"body":"weight. So he was a tradesman."},{"speaker":"Mike Patterson","startTime":1520.49,"endTime":1521.93,"body":"So expect them to have a pretty"},{"speaker":"Mike Patterson","startTime":1521.93,"endTime":1523.22,"body":"good grip strength, reasonable"},{"speaker":"Mike Patterson","startTime":1523.22,"endTime":1524.54,"body":"muscle mass. So I was discussing"},{"speaker":"Mike Patterson","startTime":1524.54,"endTime":1525.44,"body":"it with the medics and saying,"},{"speaker":"Mike Patterson","startTime":1525.44,"endTime":1526.64,"body":"look, this is what happening. I"},{"speaker":"Mike Patterson","startTime":1526.64,"endTime":1527.51,"body":"think it's worth just"},{"speaker":"Mike Patterson","startTime":1527.51,"endTime":1528.59,"body":"fluctuating because we still"},{"speaker":"Mike Patterson","startTime":1528.59,"endTime":1530.9,"body":"molossia Friday, the medics are"},{"speaker":"Mike Patterson","startTime":1530.9,"endTime":1532.19,"body":"a little bit unsure did full"},{"speaker":"Mike Patterson","startTime":1532.19,"endTime":1533.63,"body":"answer on it, it showed in terms"},{"speaker":"Mike Patterson","startTime":1533.63,"endTime":1535.76,"body":"of prescriptions was, you know,"},{"speaker":"Mike Patterson","startTime":1535.79,"endTime":1537.02,"body":"much less than what it should"},{"speaker":"Mike Patterson","startTime":1537.02,"endTime":1539.09,"body":"have been for a guy his age and"},{"speaker":"Mike Patterson","startTime":1539.09,"endTime":1540.86,"body":"also in terms of from just mid"},{"speaker":"Mike Patterson","startTime":1540.86,"endTime":1542.36,"body":"upper arms conference cast"},{"speaker":"Mike Patterson","startTime":1542.36,"endTime":1543.68,"body":"conference showed that he didn't"},{"speaker":"Mike Patterson","startTime":1543.71,"endTime":1544.64,"body":"have the muscle mass you'd"},{"speaker":"Mike Patterson","startTime":1544.64,"endTime":1546.08,"body":"expect for a guy his age to"},{"speaker":"Mike Patterson","startTime":1546.08,"endTime":1547.31,"body":"adapt to the medics and said,"},{"speaker":"Mike Patterson","startTime":1547.31,"endTime":1548.39,"body":"Look, this is what's happening."},{"speaker":"Mike Patterson","startTime":1548.42,"endTime":1550.52,"body":"He's going down. This is not"},{"speaker":"Mike Patterson","startTime":1550.52,"endTime":1552.05,"body":"what we'd expect for this guy,"},{"speaker":"Mike Patterson","startTime":1552.05,"endTime":1553.04,"body":"especially being a tradesman,"},{"speaker":"Mike Patterson","startTime":1553.04,"endTime":1554.54,"body":"he's probably using his hands"},{"speaker":"Mike Patterson","startTime":1554.54,"endTime":1555.41,"body":"quite a bit. And then the"},{"speaker":"Mike Patterson","startTime":1555.44,"endTime":1557.18,"body":"decision made was to start him"},{"speaker":"Mike Patterson","startTime":1557.18,"endTime":1559.4,"body":"on piano, ready to reverse the"},{"speaker":"Mike Patterson","startTime":1559.4,"endTime":1560.57,"body":"surgery. So he ended up on the"},{"speaker":"Mike Patterson","startTime":1560.57,"endTime":1561.77,"body":"end for about three and a half,"},{"speaker":"Mike Patterson","startTime":1561.77,"endTime":1564.11,"body":"four months, to start utilising"},{"speaker":"Mike Patterson","startTime":1564.14,"endTime":1565.13,"body":"the fact that his weight was"},{"speaker":"Mike Patterson","startTime":1565.13,"endTime":1566.78,"body":"fluctuating so much looking at"},{"speaker":"Mike Patterson","startTime":1567.32,"endTime":1569.06,"body":"using the bloodspot to use an"},{"speaker":"Mike Patterson","startTime":1569.06,"endTime":1570.47,"body":"anthro, I was able to convince"},{"speaker":"Mike Patterson","startTime":1570.47,"endTime":1571.82,"body":"the medics that he was needing"},{"speaker":"Mike Patterson","startTime":1571.82,"endTime":1573.08,"body":"further nutritional support. And"},{"speaker":"Mike Patterson","startTime":1573.08,"endTime":1574.52,"body":"the patient was actually really"},{"speaker":"Mike Patterson","startTime":1574.52,"endTime":1575.99,"body":"against me. And at first, he was"},{"speaker":"Mike Patterson","startTime":1575.99,"endTime":1577.64,"body":"just like, No, I don't want to"},{"speaker":"Mike Patterson","startTime":1577.64,"endTime":1579.05,"body":"do it. And then after we started"},{"speaker":"Mike Patterson","startTime":1579.05,"endTime":1579.92,"body":"him on it, and once he got in"},{"speaker":"Mike Patterson","startTime":1579.92,"endTime":1580.85,"body":"his former regime, yeah,"},{"speaker":"Mike Patterson","startTime":1580.85,"endTime":1581.9,"body":"absolutely love that stuff."},{"speaker":"Mike Patterson","startTime":1581.96,"endTime":1583.1,"body":"Because like a new book, er,"},{"speaker":"Mike Patterson","startTime":1583.1,"endTime":1584.48,"body":"because he got so much better."},{"speaker":"Mike Patterson","startTime":1584.54,"endTime":1585.59,"body":"The fact that he was better"},{"speaker":"Mike Patterson","startTime":1585.59,"endTime":1586.85,"body":"nourished. And you know, pretty"},{"speaker":"Mike Patterson","startTime":1586.85,"endTime":1588.65,"body":"much the reasons that I did was"},{"speaker":"Mike Patterson","startTime":1588.65,"endTime":1590.06,"body":"because I could prove to her"},{"speaker":"Mike Patterson","startTime":1590.36,"endTime":1591.83,"body":"that he was malnourished. It was"},{"speaker":"Mike Patterson","startTime":1591.83,"endTime":1592.85,"body":"fortunate to work."},{"speaker":"Aaron Boysen","startTime":1593.33,"endTime":1593.9,"body":"Thank you. That's"},{"speaker":"Aaron Boysen","startTime":1593.9,"endTime":1596.24,"body":"really interesting. I mean, I"},{"speaker":"Aaron Boysen","startTime":1596.24,"endTime":1598.19,"body":"knew about Isaak, but I just"},{"speaker":"Aaron Boysen","startTime":1598.19,"endTime":1599.54,"body":"thought it was marketed towards"},{"speaker":"Aaron Boysen","startTime":1599.54,"endTime":1601.82,"body":"Oh, it was made for more sports"},{"speaker":"Aaron Boysen","startTime":1601.82,"endTime":1603.44,"body":"professionals or people working"},{"speaker":"Aaron Boysen","startTime":1603.44,"endTime":1605.18,"body":"in sports medicine, and I sort"},{"speaker":"Aaron Boysen","startTime":1605.18,"endTime":1606.2,"body":"of thought it was maybe"},{"speaker":"Aaron Boysen","startTime":1606.2,"endTime":1607.31,"body":"impractical in clinical"},{"speaker":"Aaron Boysen","startTime":1607.31,"endTime":1612.11,"body":"practice. And but I guess I'm"},{"speaker":"Aaron Boysen","startTime":1612.11,"endTime":1612.44,"body":"wrong."},{"speaker":"Mike Patterson","startTime":1613.49,"endTime":1614.39,"body":"Yeah, I think"},{"speaker":"Mike Patterson","startTime":1614.39,"endTime":1615.71,"body":"sort of, it's marketed that a"},{"speaker":"Mike Patterson","startTime":1615.71,"endTime":1618.02,"body":"little bit more towards sports,"},{"speaker":"Mike Patterson","startTime":1618.02,"endTime":1619.31,"body":"you got think first, a lot"},{"speaker":"Mike Patterson","startTime":1619.31,"endTime":1620.48,"body":"sports are probably going to be"},{"speaker":"Mike Patterson","startTime":1620.48,"endTime":1621.89,"body":"doing more body composition"},{"speaker":"Mike Patterson","startTime":1621.89,"endTime":1624.32,"body":"assessments, we would do it. But"},{"speaker":"Mike Patterson","startTime":1624.32,"endTime":1625.55,"body":"I just think in terms of their"},{"speaker":"Mike Patterson","startTime":1625.58,"endTime":1627.17,"body":"teaching methods to take a"},{"speaker":"Mike Patterson","startTime":1627.17,"endTime":1628.91,"body":"correct measurement. So"},{"speaker":"Mike Patterson","startTime":1629.03,"endTime":1630.8,"body":"especially sort of like, error"},{"speaker":"Mike Patterson","startTime":1630.8,"endTime":1632.75,"body":"can be huge between the same"},{"speaker":"Mike Patterson","startTime":1632.75,"endTime":1634.4,"body":"people doing it, and also sort"},{"speaker":"Mike Patterson","startTime":1634.4,"endTime":1635.9,"body":"of taking the right measurement."},{"speaker":"Mike Patterson","startTime":1635.9,"endTime":1637.55,"body":"So you know, if you take a"},{"speaker":"Mike Patterson","startTime":1637.55,"endTime":1638.36,"body":"measurement, a couple of"},{"speaker":"Mike Patterson","startTime":1638.36,"endTime":1639.56,"body":"centimetres different on the"},{"speaker":"Mike Patterson","startTime":1639.56,"endTime":1640.97,"body":"are, the measurement might be"},{"speaker":"Mike Patterson","startTime":1640.97,"endTime":1642.29,"body":"massively different. So if you"},{"speaker":"Mike Patterson","startTime":1642.29,"endTime":1643.73,"body":"get taught the correct technique"},{"speaker":"Mike Patterson","startTime":1643.73,"endTime":1645.59,"body":"to do it, even stuff, like"},{"speaker":"Mike Patterson","startTime":1645.59,"endTime":1647.54,"body":"taking capsules, mid upper arm"},{"speaker":"Mike Patterson","startTime":1647.57,"endTime":1649.04,"body":"taking callipers, I just think"},{"speaker":"Mike Patterson","startTime":1649.04,"endTime":1650.24,"body":"it's really, really applicable."},{"speaker":"Mike Patterson","startTime":1650.33,"endTime":1651.29,"body":"And because there's so many"},{"speaker":"Mike Patterson","startTime":1651.29,"endTime":1653.33,"body":"conditions, as I say, Why Where"},{"speaker":"Mike Patterson","startTime":1653.39,"endTime":1655.01,"body":"is useful, but at the same time,"},{"speaker":"Mike Patterson","startTime":1655.01,"endTime":1656.48,"body":"doesn't matter of limitations."},{"speaker":"Mike Patterson","startTime":1656.51,"endTime":1658.88,"body":"If you can do some pretty easy,"},{"speaker":"Mike Patterson","startTime":1658.91,"endTime":1660.92,"body":"quick answer. I think it just"},{"speaker":"Mike Patterson","startTime":1660.92,"endTime":1662.63,"body":"makes an assessment so much more"},{"speaker":"Mike Patterson","startTime":1662.63,"endTime":1663.95,"body":"comprehensive, I think it helps"},{"speaker":"Mike Patterson","startTime":1663.95,"endTime":1665.24,"body":"from a patient perspective as"},{"speaker":"Mike Patterson","startTime":1665.24,"endTime":1666.68,"body":"well. If you're showing that"},{"speaker":"Mike Patterson","startTime":1666.68,"endTime":1667.91,"body":"their strengths increase, then"},{"speaker":"Mike Patterson","startTime":1667.94,"endTime":1668.93,"body":"you can show it to them that"},{"speaker":"Mike Patterson","startTime":1668.93,"endTime":1670.07,"body":"their nutrition interventions"},{"speaker":"Mike Patterson","startTime":1670.07,"endTime":1671.09,"body":"work and that you're getting"},{"speaker":"Mike Patterson","startTime":1671.09,"endTime":1672.92,"body":"some functional outcomes is"},{"speaker":"Mike Patterson","startTime":1672.92,"endTime":1674.27,"body":"really important for patients,"},{"speaker":"Mike Patterson","startTime":1674.27,"endTime":1675.41,"body":"especially if they can't see any"},{"speaker":"Mike Patterson","startTime":1675.41,"endTime":1677.06,"body":"changes in the way because it's"},{"speaker":"Mike Patterson","startTime":1677.12,"endTime":1679.49,"body":"been masked by deema, or look or"},{"speaker":"Mike Patterson","startTime":1679.49,"endTime":1680.03,"body":"sighted."},{"speaker":"Aaron Boysen","startTime":1681.59,"endTime":1682.28,"body":"Thank you so much."},{"speaker":"Aaron Boysen","startTime":1682.28,"endTime":1684.35,"body":"I think that's so important,"},{"speaker":"Aaron Boysen","startTime":1684.38,"endTime":1685.7,"body":"especially over the last couple"},{"speaker":"Aaron Boysen","startTime":1685.7,"endTime":1686.84,"body":"of months for myself, it's"},{"speaker":"Aaron Boysen","startTime":1686.84,"endTime":1688.28,"body":"really illustrated the"},{"speaker":"Aaron Boysen","startTime":1688.85,"endTime":1691.91,"body":"limitations of weight, but also,"},{"speaker":"Aaron Boysen","startTime":1692.12,"endTime":1694.49,"body":"BMI and BMI in the context of a"},{"speaker":"Aaron Boysen","startTime":1694.49,"endTime":1697.19,"body":"lot of our screening tools, has"},{"speaker":"Aaron Boysen","startTime":1697.22,"endTime":1698.9,"body":"very crucial to acknowledge"},{"speaker":"Aaron Boysen","startTime":1698.9,"endTime":1700.61,"body":"limitations that are prevalent."},{"speaker":"Aaron Boysen","startTime":1700.76,"endTime":1701.99,"body":"That brings me on to another"},{"speaker":"Aaron Boysen","startTime":1701.99,"endTime":1704.24,"body":"topic recently due to"},{"speaker":"Aaron Boysen","startTime":1704.27,"endTime":1705.56,"body":"coronavirus, and a lot more"},{"speaker":"Aaron Boysen","startTime":1705.56,"endTime":1707.9,"body":"patients being an ICU. And"},{"speaker":"Aaron Boysen","startTime":1707.9,"endTime":1710.0,"body":"having prolonged periods of time"},{"speaker":"Aaron Boysen","startTime":1710.0,"endTime":1711.71,"body":"on non invasive ventilators,"},{"speaker":"Aaron Boysen","startTime":1712.01,"endTime":1713.93,"body":"they might have lose a dramatic"},{"speaker":"Aaron Boysen","startTime":1713.93,"endTime":1716.84,"body":"amount of weight, but maybe not"},{"speaker":"Aaron Boysen","startTime":1716.87,"endTime":1718.82,"body":"have a reduced BMI. What's the"},{"speaker":"Aaron Boysen","startTime":1718.82,"endTime":1721.01,"body":"dietitians role in helping those"},{"speaker":"Aaron Boysen","startTime":1721.01,"endTime":1723.11,"body":"patients? So basically, you've"},{"speaker":"Aaron Boysen","startTime":1723.11,"endTime":1724.94,"body":"done an assessment and you found"},{"speaker":"Aaron Boysen","startTime":1724.94,"endTime":1728.15,"body":"out that this patient is healthy"},{"speaker":"Aaron Boysen","startTime":1728.15,"endTime":1730.79,"body":"or even overweight or obese BMI,"},{"speaker":"Aaron Boysen","startTime":1731.03,"endTime":1732.53,"body":"but has a dramatic amount of"},{"speaker":"Aaron Boysen","startTime":1732.53,"endTime":1734.51,"body":"muscle mass loss due to recent"},{"speaker":"Aaron Boysen","startTime":1734.51,"endTime":1736.19,"body":"weight loss? How would you"},{"speaker":"Aaron Boysen","startTime":1736.19,"endTime":1736.76,"body":"approach that"},{"speaker":"Mike Patterson","startTime":1737.03,"endTime":1737.84,"body":"those patients"},{"speaker":"Mike Patterson","startTime":1737.84,"endTime":1739.28,"body":"so like, yeah, sarcopenic base"},{"speaker":"Mike Patterson","startTime":1739.34,"endTime":1741.02,"body":"is quite an interesting one in"},{"speaker":"Mike Patterson","startTime":1741.02,"endTime":1742.67,"body":"terms of they've got to really,"},{"speaker":"Mike Patterson","startTime":1742.67,"endTime":1745.13,"body":"really poor health outcomes"},{"speaker":"Mike Patterson","startTime":1745.13,"endTime":1746.12,"body":"there that if they're going to"},{"speaker":"Mike Patterson","startTime":1746.12,"endTime":1748.55,"body":"have high adiposity, that's not"},{"speaker":"Mike Patterson","startTime":1748.55,"endTime":1749.75,"body":"going to be a great outcome for"},{"speaker":"Mike Patterson","startTime":1749.75,"endTime":1750.71,"body":"them. But also the fact if"},{"speaker":"Mike Patterson","startTime":1750.71,"endTime":1751.49,"body":"they're gonna have low muscle"},{"speaker":"Mike Patterson","startTime":1751.49,"endTime":1752.57,"body":"mass, it's really going to"},{"speaker":"Mike Patterson","startTime":1752.57,"endTime":1753.98,"body":"impact them. So the first thing"},{"speaker":"Mike Patterson","startTime":1753.98,"endTime":1755.81,"body":"I do is I speak to the physios"},{"speaker":"Mike Patterson","startTime":1756.2,"endTime":1757.88,"body":"and see what they're up to. So"},{"speaker":"Mike Patterson","startTime":1757.88,"endTime":1759.92,"body":"we know in terms of gaining"},{"speaker":"Mike Patterson","startTime":1759.95,"endTime":1762.5,"body":"muscle mass, the biggest driver"},{"speaker":"Mike Patterson","startTime":1762.5,"endTime":1764.03,"body":"is going to be some form of"},{"speaker":"Mike Patterson","startTime":1764.03,"endTime":1766.16,"body":"resistance exercise. resistance"},{"speaker":"Mike Patterson","startTime":1766.16,"endTime":1767.06,"body":"exercise doesn't mean that"},{"speaker":"Mike Patterson","startTime":1767.06,"endTime":1767.87,"body":"they're going to have to be"},{"speaker":"Mike Patterson","startTime":1767.93,"endTime":1769.58,"body":"hitting the gym five days a"},{"speaker":"Mike Patterson","startTime":1769.58,"endTime":1771.29,"body":"week, you know, so just means at"},{"speaker":"Mike Patterson","startTime":1771.29,"endTime":1772.94,"body":"least some resistance for them."},{"speaker":"Mike Patterson","startTime":1773.0,"endTime":1774.65,"body":"And in terms of nutrition, I"},{"speaker":"Mike Patterson","startTime":1774.65,"endTime":1775.58,"body":"think it's sort of quite an"},{"speaker":"Mike Patterson","startTime":1775.58,"endTime":1777.08,"body":"interesting one, because you're"},{"speaker":"Mike Patterson","startTime":1777.08,"endTime":1778.73,"body":"gonna have to try and address a"},{"speaker":"Mike Patterson","startTime":1778.73,"endTime":1780.2,"body":"couple of different things. So"},{"speaker":"Mike Patterson","startTime":1780.2,"endTime":1781.34,"body":"you're going to try to have to"},{"speaker":"Mike Patterson","startTime":1781.34,"endTime":1782.66,"body":"address the fact that have"},{"speaker":"Mike Patterson","startTime":1782.69,"endTime":1784.67,"body":"probably been having an energy"},{"speaker":"Mike Patterson","startTime":1784.67,"endTime":1786.2,"body":"surplus, so you're going to"},{"speaker":"Mike Patterson","startTime":1786.23,"endTime":1788.03,"body":"maybe want to look at reducing"},{"speaker":"Mike Patterson","startTime":1788.03,"endTime":1790.01,"body":"their caloric intake, kind of"},{"speaker":"Mike Patterson","startTime":1790.01,"endTime":1791.12,"body":"want to put them in an energy"},{"speaker":"Mike Patterson","startTime":1791.12,"endTime":1792.77,"body":"deficit. And alongside that,"},{"speaker":"Mike Patterson","startTime":1792.77,"endTime":1793.7,"body":"you're going to have to address"},{"speaker":"Mike Patterson","startTime":1793.7,"endTime":1795.41,"body":"the protein intake. So we know"},{"speaker":"Mike Patterson","startTime":1795.41,"endTime":1796.91,"body":"in terms of building battery"},{"speaker":"Mike Patterson","startTime":1796.91,"endTime":1799.16,"body":"mass, you can build up the mass"},{"speaker":"Mike Patterson","startTime":1799.19,"endTime":1800.0,"body":"when you're in a deficit."},{"speaker":"Mike Patterson","startTime":1800.51,"endTime":1801.5,"body":"Especially for someone who's"},{"speaker":"Mike Patterson","startTime":1801.5,"endTime":1803.54,"body":"sort of like quite a novice when"},{"speaker":"Mike Patterson","startTime":1803.54,"endTime":1804.86,"body":"it comes to resistance training."},{"speaker":"Mike Patterson","startTime":1804.89,"endTime":1806.15,"body":"But again, this is where I think"},{"speaker":"Mike Patterson","startTime":1806.15,"endTime":1808.22,"body":"sports dieticians, sports"},{"speaker":"Mike Patterson","startTime":1808.22,"endTime":1809.63,"body":"nutritionist sports dieticians"},{"speaker":"Mike Patterson","startTime":1809.66,"endTime":1811.67,"body":"and a general clinical dietitian"},{"speaker":"Mike Patterson","startTime":1811.67,"endTime":1813.23,"body":"are probably disagree what a"},{"speaker":"Mike Patterson","startTime":1813.23,"endTime":1815.03,"body":"high protein diet is since a"},{"speaker":"Mike Patterson","startTime":1815.03,"endTime":1816.83,"body":"Chappie called Josie Antonio,"},{"speaker":"Mike Patterson","startTime":1816.92,"endTime":1818.93,"body":"who's the editor for journal of"},{"speaker":"Mike Patterson","startTime":1818.93,"endTime":1820.31,"body":"the National Society of sports"},{"speaker":"Mike Patterson","startTime":1820.31,"endTime":1821.75,"body":"nutrition. So he's done quite a"},{"speaker":"Mike Patterson","startTime":1821.75,"endTime":1823.64,"body":"bit of research on really high"},{"speaker":"Mike Patterson","startTime":1823.64,"endTime":1824.66,"body":"protein intake. So you're"},{"speaker":"Mike Patterson","startTime":1824.66,"endTime":1825.98,"body":"looking at three, three and a"},{"speaker":"Mike Patterson","startTime":1825.98,"endTime":1827.21,"body":"half to four and a half grammes"},{"speaker":"Mike Patterson","startTime":1827.21,"endTime":1828.95,"body":"per keto. So he sort of argues"},{"speaker":"Mike Patterson","startTime":1828.95,"endTime":1831.32,"body":"that he plus a high protein diet"},{"speaker":"Mike Patterson","startTime":1831.32,"endTime":1832.55,"body":"is something over two grammes,"},{"speaker":"Mike Patterson","startTime":1832.55,"endTime":1834.98,"body":"tequila, and I probably sit on"},{"speaker":"Mike Patterson","startTime":1834.98,"endTime":1836.33,"body":"that side of the fence with him,"},{"speaker":"Mike Patterson","startTime":1836.36,"endTime":1837.56,"body":"but high protein diet is"},{"speaker":"Mike Patterson","startTime":1837.56,"endTime":1838.94,"body":"probably something either two"},{"speaker":"Mike Patterson","startTime":1838.94,"endTime":1840.41,"body":"grammes per kilo so there's some"},{"speaker":"Mike Patterson","startTime":1840.41,"endTime":1842.69,"body":"work done by Brad Schoenfeld and"},{"speaker":"Mike Patterson","startTime":1842.72,"endTime":1844.13,"body":"on Aragon, so they said to"},{"speaker":"Mike Patterson","startTime":1844.13,"endTime":1846.59,"body":"maximise the anabolic effects of"},{"speaker":"Mike Patterson","startTime":1846.59,"endTime":1848.0,"body":"protein, you need to be looking"},{"speaker":"Mike Patterson","startTime":1848.0,"endTime":1850.25,"body":"at both doses. So four meals a"},{"speaker":"Mike Patterson","startTime":1850.28,"endTime":1851.69,"body":"minimum of four meals, a point"},{"speaker":"Mike Patterson","startTime":1851.69,"endTime":1853.61,"body":"four grammes per Keilar up to"},{"speaker":"Mike Patterson","startTime":1853.61,"endTime":1857.09,"body":"ARDS point 1.55 grammes. So for"},{"speaker":"Mike Patterson","startTime":1857.09,"endTime":1858.17,"body":"these patients, you're going to"},{"speaker":"Mike Patterson","startTime":1858.17,"endTime":1859.73,"body":"be looking at trying to get 1.6"},{"speaker":"Mike Patterson","startTime":1859.73,"endTime":1861.47,"body":"to 2.2 grammes of protein and"},{"speaker":"Mike Patterson","startTime":1861.59,"endTime":1863.66,"body":"ideally split all the four even"},{"speaker":"Mike Patterson","startTime":1863.81,"endTime":1865.34,"body":"meals. So this is the whole"},{"speaker":"Mike Patterson","startTime":1865.34,"endTime":1866.72,"body":"thing I said on my tonight about"},{"speaker":"Mike Patterson","startTime":1866.72,"endTime":1868.1,"body":"looking at stimulating muscle"},{"speaker":"Mike Patterson","startTime":1868.1,"endTime":1869.6,"body":"protein synthesis. So this"},{"speaker":"Mike Patterson","startTime":1869.63,"endTime":1871.31,"body":"again, was sarcopenia. As a guy,"},{"speaker":"Mike Patterson","startTime":1872.06,"endTime":1873.59,"body":"Professor protein says to"},{"speaker":"Mike Patterson","startTime":1873.59,"endTime":1875.12,"body":"Philips, how much that's"},{"speaker":"Mike Patterson","startTime":1875.24,"endTime":1876.74,"body":"covered. So anyone who's got an"},{"speaker":"Mike Patterson","startTime":1876.74,"endTime":1878.06,"body":"interest in nutrition support,"},{"speaker":"Mike Patterson","startTime":1878.27,"endTime":1879.59,"body":"who's got an interest in"},{"speaker":"Mike Patterson","startTime":1879.59,"endTime":1881.3,"body":"sarcopenia, we need to look at"},{"speaker":"Mike Patterson","startTime":1881.3,"endTime":1882.68,"body":"the lack of stupidity. So"},{"speaker":"Mike Patterson","startTime":1882.68,"endTime":1884.36,"body":"there's a dietician. So she's an"},{"speaker":"Mike Patterson","startTime":1884.36,"endTime":1886.1,"body":"Irish dietitian, still a doctor."},{"speaker":"Mike Patterson","startTime":1886.94,"endTime":1889.04,"body":"And so she did some work few"},{"speaker":"Mike Patterson","startTime":1889.04,"endTime":1890.6,"body":"years ago, looking at protein"},{"speaker":"Mike Patterson","startTime":1890.6,"endTime":1892.31,"body":"distributions. As I think"},{"speaker":"Mike Patterson","startTime":1892.34,"endTime":1893.81,"body":"historically, if you looked at"},{"speaker":"Mike Patterson","startTime":1893.81,"endTime":1895.64,"body":"probably a sort of typical"},{"speaker":"Mike Patterson","startTime":1895.67,"endTime":1896.78,"body":"British diet, you've been"},{"speaker":"Mike Patterson","startTime":1896.78,"endTime":1897.86,"body":"looking at sort of quite a"},{"speaker":"Mike Patterson","startTime":1897.86,"endTime":1899.63,"body":"skewed proteintech, generally"},{"speaker":"Mike Patterson","startTime":1899.63,"endTime":1900.71,"body":"pretty rubbish and breakfast"},{"speaker":"Mike Patterson","startTime":1900.71,"endTime":1901.82,"body":"time, maybe a little bit more"},{"speaker":"Mike Patterson","startTime":1901.82,"endTime":1903.8,"body":"than than lunch, probably the"},{"speaker":"Mike Patterson","startTime":1903.8,"endTime":1905.96,"body":"big hair protein on a meal. So I"},{"speaker":"Mike Patterson","startTime":1905.96,"endTime":1907.16,"body":"think aiming a little bit"},{"speaker":"Mike Patterson","startTime":1907.16,"endTime":1908.54,"body":"towards sort of those evenly"},{"speaker":"Mike Patterson","startTime":1908.54,"endTime":1910.43,"body":"distributed protein patterns, a"},{"speaker":"Mike Patterson","startTime":1910.43,"endTime":1911.51,"body":"good idea, especially for a"},{"speaker":"Mike Patterson","startTime":1911.51,"endTime":1913.25,"body":"sarcopenia patient, so for their"},{"speaker":"Mike Patterson","startTime":1913.25,"endTime":1914.6,"body":"sarcopenic obesity, they're"},{"speaker":"Mike Patterson","startTime":1914.6,"endTime":1916.4,"body":"looking at creating some sort of"},{"speaker":"Mike Patterson","startTime":1916.46,"endTime":1918.05,"body":"calorie deficit, to reduce the"},{"speaker":"Mike Patterson","startTime":1918.05,"endTime":1919.67,"body":"fat mass, you need to make sure"},{"speaker":"Mike Patterson","startTime":1919.67,"endTime":1920.51,"body":"they're going to get some sort"},{"speaker":"Mike Patterson","startTime":1920.51,"endTime":1921.59,"body":"of resistance training. So"},{"speaker":"Mike Patterson","startTime":1922.16,"endTime":1923.87,"body":"speaking with physios and see"},{"speaker":"Mike Patterson","startTime":1923.87,"endTime":1925.34,"body":"what videos can do, and then"},{"speaker":"Mike Patterson","startTime":1925.34,"endTime":1927.05,"body":"looking at sort of optimising"},{"speaker":"Mike Patterson","startTime":1927.05,"endTime":1928.91,"body":"the protein intake, try to find"},{"speaker":"Mike Patterson","startTime":1928.91,"endTime":1929.84,"body":"a bit of a nice, even"},{"speaker":"Mike Patterson","startTime":1929.84,"endTime":1931.37,"body":"distribution of a sort of at"},{"speaker":"Mike Patterson","startTime":1931.37,"endTime":1932.57,"body":"least three to four meals and"},{"speaker":"Mike Patterson","startTime":1932.57,"endTime":1935.54,"body":"trying to hit that once the 2.2"},{"speaker":"Mike Patterson","startTime":1935.54,"endTime":1936.68,"body":"grammes, Sue Phillips has"},{"speaker":"Mike Patterson","startTime":1936.68,"endTime":1937.7,"body":"actually published something"},{"speaker":"Mike Patterson","startTime":1937.7,"endTime":1939.2,"body":"really, really recently looking"},{"speaker":"Mike Patterson","startTime":1939.2,"endTime":1941.33,"body":"at nutritional supplements in"},{"speaker":"Mike Patterson","startTime":1941.33,"endTime":1943.76,"body":"sarcopenia. Not it's not purely"},{"speaker":"Mike Patterson","startTime":1943.76,"endTime":1945.56,"body":"sarcopenic, obesity, so the big"},{"speaker":"Mike Patterson","startTime":1945.56,"endTime":1946.79,"body":"ones created. So great things"},{"speaker":"Mike Patterson","startTime":1946.79,"endTime":1947.87,"body":"got really, really, really good"},{"speaker":"Mike Patterson","startTime":1947.87,"endTime":1949.52,"body":"evidence. So some of the things"},{"speaker":"Mike Patterson","startTime":1949.52,"endTime":1950.6,"body":"that we're looking at that the"},{"speaker":"Mike Patterson","startTime":1950.6,"endTime":1952.97,"body":"sack kapena is created between D"},{"speaker":"Mike Patterson","startTime":1953.09,"endTime":1954.74,"body":"and omega three. So that's I've"},{"speaker":"Mike Patterson","startTime":1954.74,"endTime":1955.58,"body":"looked at some of their"},{"speaker":"Mike Patterson","startTime":1957.02,"endTime":1958.43,"body":"supplements. So there's some"},{"speaker":"Mike Patterson","startTime":1958.43,"endTime":1959.63,"body":"things that people can look into"},{"speaker":"Mike Patterson","startTime":1959.63,"endTime":1959.96,"body":"as well."},{"speaker":"Aaron Boysen","startTime":1960.379,"endTime":1961.099,"body":"Oh, that's really"},{"speaker":"Aaron Boysen","startTime":1961.099,"endTime":1964.159,"body":"interesting, actually. So say I"},{"speaker":"Aaron Boysen","startTime":1964.159,"endTime":1965.749,"body":"had a patient that was a step"},{"speaker":"Aaron Boysen","startTime":1965.749,"endTime":1967.969,"body":"down from ICU, and he has"},{"speaker":"Aaron Boysen","startTime":1967.969,"endTime":1969.889,"body":"experienced a massive amount of"},{"speaker":"Aaron Boysen","startTime":1969.889,"endTime":1971.569,"body":"muscle loss during his time in"},{"speaker":"Aaron Boysen","startTime":1971.569,"endTime":1974.419,"body":"ICU, and covid. Lows on there,"},{"speaker":"Aaron Boysen","startTime":1974.629,"endTime":1975.889,"body":"he was on for a prolonged period"},{"speaker":"Aaron Boysen","startTime":1975.889,"endTime":1977.599,"body":"of time, would you recommend"},{"speaker":"Aaron Boysen","startTime":1978.229,"endTime":1979.639,"body":"creatine monohydrate to those"},{"speaker":"Aaron Boysen","startTime":1979.639,"endTime":1980.779,"body":"kind of patients,"},{"speaker":"Mike Patterson","startTime":1981.08,"endTime":1981.62,"body":"I think it's"},{"speaker":"Mike Patterson","startTime":1981.62,"endTime":1983.36,"body":"definitely something worth"},{"speaker":"Mike Patterson","startTime":1983.36,"endTime":1984.68,"body":"discussing with a patient. I'm"},{"speaker":"Mike Patterson","startTime":1984.68,"endTime":1986.12,"body":"not saying that every single"},{"speaker":"Mike Patterson","startTime":1986.15,"endTime":1987.74,"body":"sarcopenic obesity patient needs"},{"speaker":"Mike Patterson","startTime":1987.74,"endTime":1989.33,"body":"to be creative. Some people"},{"speaker":"Mike Patterson","startTime":1989.33,"endTime":1990.47,"body":"would probably disagree that APR"},{"speaker":"Mike Patterson","startTime":1990.47,"endTime":1992.27,"body":"needs to be created. I do know a"},{"speaker":"Mike Patterson","startTime":1992.27,"endTime":1993.59,"body":"few people have that viewpoint,"},{"speaker":"Mike Patterson","startTime":1993.59,"endTime":1994.85,"body":"but it's just something worth"},{"speaker":"Mike Patterson","startTime":1994.85,"endTime":1996.35,"body":"considering. So if you're really"},{"speaker":"Mike Patterson","startTime":1996.35,"endTime":1997.91,"body":"trying to optimise that patient,"},{"speaker":"Mike Patterson","startTime":1998.15,"endTime":2000.1,"body":"if you've if you've managed to"},{"speaker":"Mike Patterson","startTime":2000.1,"endTime":2001.21,"body":"sort of get them into a good"},{"speaker":"Mike Patterson","startTime":2001.21,"endTime":2002.29,"body":"eating pattern, where you"},{"speaker":"Mike Patterson","startTime":2002.38,"endTime":2004.42,"body":"probably think they are losing a"},{"speaker":"Mike Patterson","startTime":2004.42,"endTime":2005.71,"body":"little bit of fat mass, again,"},{"speaker":"Mike Patterson","startTime":2005.71,"endTime":2006.7,"body":"this is where answers can be"},{"speaker":"Mike Patterson","startTime":2006.7,"endTime":2007.72,"body":"really important, not just"},{"speaker":"Mike Patterson","startTime":2007.72,"endTime":2008.95,"body":"looking at the way because you"},{"speaker":"Mike Patterson","startTime":2008.95,"endTime":2009.91,"body":"want to make sure that they're"},{"speaker":"Mike Patterson","startTime":2010.06,"endTime":2012.37,"body":"gaining some muscle tissue. So"},{"speaker":"Mike Patterson","startTime":2012.37,"endTime":2013.39,"body":"if you sort of got them in"},{"speaker":"Mike Patterson","startTime":2013.57,"endTime":2014.35,"body":"there, they have an energy"},{"speaker":"Mike Patterson","startTime":2014.35,"endTime":2016.18,"body":"deficit, making sure that"},{"speaker":"Mike Patterson","startTime":2016.18,"endTime":2017.11,"body":"they're getting a good amount of"},{"speaker":"Mike Patterson","startTime":2017.11,"endTime":2018.67,"body":"protein going in. I think"},{"speaker":"Mike Patterson","startTime":2018.67,"endTime":2019.84,"body":"creatine is definitely something"},{"speaker":"Mike Patterson","startTime":2019.84,"endTime":2020.95,"body":"that you can discuss with a"},{"speaker":"Mike Patterson","startTime":2020.95,"endTime":2022.75,"body":"patient. I'm not saying for"},{"speaker":"Mike Patterson","startTime":2022.78,"endTime":2024.34,"body":"every single patient, especially"},{"speaker":"Mike Patterson","startTime":2024.34,"endTime":2025.84,"body":"in terms of portability, the"},{"speaker":"Mike Patterson","startTime":2025.84,"endTime":2027.67,"body":"convenience, you know, you have"},{"speaker":"Mike Patterson","startTime":2027.67,"endTime":2028.87,"body":"to take everything into account,"},{"speaker":"Mike Patterson","startTime":2028.87,"endTime":2031.33,"body":"but it's definitely worth worth"},{"speaker":"Mike Patterson","startTime":2031.33,"endTime":2033.1,"body":"looking at. And I think that's"},{"speaker":"Mike Patterson","startTime":2033.1,"endTime":2035.77,"body":"something that I think in terms"},{"speaker":"Mike Patterson","startTime":2035.77,"endTime":2037.45,"body":"of supplements from an acute"},{"speaker":"Mike Patterson","startTime":2037.45,"endTime":2038.62,"body":"side of things, it's very much"},{"speaker":"Mike Patterson","startTime":2038.62,"endTime":2040.33,"body":"pushed towards do there are"},{"speaker":"Mike Patterson","startTime":2040.33,"endTime":2042.07,"body":"clinical nutritional supplements"},{"speaker":"Mike Patterson","startTime":2042.13,"endTime":2044.56,"body":"Is that fun to use. And, and"},{"speaker":"Mike Patterson","startTime":2044.56,"endTime":2045.67,"body":"it's something I talk about when"},{"speaker":"Mike Patterson","startTime":2045.67,"endTime":2046.78,"body":"my patients quite a bit. It's"},{"speaker":"Mike Patterson","startTime":2046.78,"endTime":2048.88,"body":"our commercial available sports"},{"speaker":"Mike Patterson","startTime":2048.91,"endTime":2050.26,"body":"nutrition supplement can be"},{"speaker":"Mike Patterson","startTime":2050.71,"endTime":2053.26,"body":"proven ingredients that can be"},{"speaker":"Mike Patterson","startTime":2053.32,"endTime":2055.84,"body":"relatively cheap ish."},{"speaker":"Aaron Boysen","startTime":2056.05,"endTime":2056.71,"body":"And in fact, they"},{"speaker":"Aaron Boysen","startTime":2056.71,"endTime":2058.42,"body":"might have less calories and a"},{"speaker":"Aaron Boysen","startTime":2058.42,"endTime":2060.13,"body":"similar amount of protein, which"},{"speaker":"Aaron Boysen","startTime":2060.13,"endTime":2061.24,"body":"is useful in this patient"},{"speaker":"Aaron Boysen","startTime":2061.24,"endTime":2061.69,"body":"cohort."},{"speaker":"Mike Patterson","startTime":2061.99,"endTime":2062.26,"body":"Yeah,"},{"speaker":"Mike Patterson","startTime":2062.29,"endTime":2063.7,"body":"definitely. And I think that's"},{"speaker":"Mike Patterson","startTime":2063.7,"endTime":2065.68,"body":"all set for an underweight"},{"speaker":"Mike Patterson","startTime":2065.68,"endTime":2067.27,"body":"patient or sarcopenia. You know,"},{"speaker":"Mike Patterson","startTime":2067.72,"endTime":2069.37,"body":"sometimes a whey protein shake"},{"speaker":"Mike Patterson","startTime":2069.37,"endTime":2071.26,"body":"with a bit of a cream in that"},{"speaker":"Mike Patterson","startTime":2071.32,"endTime":2072.97,"body":"might test, some nutritional"},{"speaker":"Mike Patterson","startTime":2072.97,"endTime":2073.42,"body":"support."},{"speaker":"Aaron Boysen","startTime":2075.159,"endTime":2075.639,"body":"There's lots of"},{"speaker":"Aaron Boysen","startTime":2075.639,"endTime":2076.329,"body":"different nutritional"},{"speaker":"Aaron Boysen","startTime":2076.329,"endTime":2077.829,"body":"supplements out there and take"},{"speaker":"Aaron Boysen","startTime":2077.829,"endTime":2079.629,"body":"some preferences may vary. I"},{"speaker":"Aaron Boysen","startTime":2079.629,"endTime":2081.009,"body":"personally actually quite like"},{"speaker":"Aaron Boysen","startTime":2081.009,"endTime":2082.509,"body":"most nutritional supplements,"},{"speaker":"Aaron Boysen","startTime":2082.539,"endTime":2084.159,"body":"but I think the point is clear"},{"speaker":"Aaron Boysen","startTime":2084.159,"endTime":2085.719,"body":"that there's lots of evidence"},{"speaker":"Aaron Boysen","startTime":2085.719,"endTime":2087.339,"body":"out there for supplements like"},{"speaker":"Aaron Boysen","startTime":2087.339,"endTime":2089.619,"body":"creatine In fact, more than some"},{"speaker":"Aaron Boysen","startTime":2089.889,"endTime":2091.539,"body":"products, some ingredients that"},{"speaker":"Aaron Boysen","startTime":2091.539,"endTime":2093.069,"body":"are used in clinical nutritional"},{"speaker":"Aaron Boysen","startTime":2093.069,"endTime":2095.289,"body":"supplements HMB comes to mind."},{"speaker":"Mike Patterson","startTime":2096.79,"endTime":2099.34,"body":"So with the HMP"},{"speaker":"Mike Patterson","startTime":2100.63,"endTime":2102.37,"body":"As I mentioned before about"},{"speaker":"Mike Patterson","startTime":2102.4,"endTime":2104.98,"body":"Philips, so if anyone wants to"},{"speaker":"Mike Patterson","startTime":2104.98,"endTime":2107.14,"body":"talk HMP, have a chat with Prof."},{"speaker":"Mike Patterson","startTime":2107.14,"endTime":2109.66,"body":"Phillips and see what he thinks"},{"speaker":"Mike Patterson","startTime":2109.66,"endTime":2111.7,"body":"of HIV. And again, this is a"},{"speaker":"Mike Patterson","startTime":2111.73,"endTime":2113.05,"body":"very, very knowledgeable"},{"speaker":"Mike Patterson","startTime":2113.05,"endTime":2115.48,"body":"gentleman who's does get the"},{"speaker":"Mike Patterson","startTime":2115.48,"endTime":2117.73,"body":"protein props. So he does a lot"},{"speaker":"Mike Patterson","startTime":2117.73,"endTime":2119.32,"body":"with with with muscle tissue."},{"speaker":"Mike Patterson","startTime":2119.35,"endTime":2121.51,"body":"HMB. Yeah, we'll leave it at"},{"speaker":"Mike Patterson","startTime":2121.51,"endTime":2121.9,"body":"that."},{"speaker":"Aaron Boysen","startTime":2122.86,"endTime":2124.42,"body":"So, onto another"},{"speaker":"Aaron Boysen","startTime":2124.42,"endTime":2126.16,"body":"topic, you've talked a little"},{"speaker":"Aaron Boysen","startTime":2126.16,"endTime":2128.65,"body":"bit about your experience"},{"speaker":"Aaron Boysen","startTime":2128.68,"endTime":2130.93,"body":"outside of dietetics. With, with"},{"speaker":"Aaron Boysen","startTime":2130.93,"endTime":2132.22,"body":"fighters, I think it was MMA"},{"speaker":"Aaron Boysen","startTime":2132.22,"endTime":2134.32,"body":"fighters and sports nutrition"},{"speaker":"Aaron Boysen","startTime":2134.32,"endTime":2135.52,"body":"more generally, is there"},{"speaker":"Aaron Boysen","startTime":2135.52,"endTime":2136.96,"body":"anything you've learned from"},{"speaker":"Aaron Boysen","startTime":2136.99,"endTime":2139.84,"body":"outside of the normal diastatic"},{"speaker":"Aaron Boysen","startTime":2139.84,"endTime":2141.7,"body":"sphere that's helped you during"},{"speaker":"Aaron Boysen","startTime":2141.7,"endTime":2142.78,"body":"your clinical work?"},{"speaker":"Mike Patterson","startTime":2143.14,"endTime":2144.4,"body":"Yeah, so a lot"},{"speaker":"Mike Patterson","startTime":2144.4,"endTime":2146.23,"body":"of it is, a lot of it does come"},{"speaker":"Mike Patterson","startTime":2146.23,"endTime":2148.63,"body":"back to sort of sports nutrition"},{"speaker":"Mike Patterson","startTime":2148.84,"endTime":2151.12,"body":"is probably a little bit more at"},{"speaker":"Mike Patterson","startTime":2151.12,"endTime":2152.83,"body":"the forefront when it comes to"},{"speaker":"Mike Patterson","startTime":2152.92,"endTime":2154.81,"body":"optimising muscle mass. And the"},{"speaker":"Mike Patterson","startTime":2154.81,"endTime":2156.19,"body":"really interesting thing is that"},{"speaker":"Mike Patterson","startTime":2156.31,"endTime":2157.84,"body":"a lot of sports nutritionists,"},{"speaker":"Mike Patterson","startTime":2157.87,"endTime":2158.89,"body":"when you actually look at they"},{"speaker":"Mike Patterson","startTime":2158.95,"endTime":2160.87,"body":"their work, they don't just work"},{"speaker":"Mike Patterson","startTime":2160.87,"endTime":2162.28,"body":"with athletes, a lot of the"},{"speaker":"Mike Patterson","startTime":2162.28,"endTime":2164.11,"body":"research that they do is with"},{"speaker":"Mike Patterson","startTime":2164.11,"endTime":2165.97,"body":"clinical populations. So I think"},{"speaker":"Mike Patterson","startTime":2165.97,"endTime":2167.38,"body":"sort of just getting to know"},{"speaker":"Mike Patterson","startTime":2167.38,"endTime":2168.52,"body":"different researchers and"},{"speaker":"Mike Patterson","startTime":2168.52,"endTime":2170.29,"body":"different ideas. And it's just"},{"speaker":"Mike Patterson","startTime":2170.29,"endTime":2172.45,"body":"opened me up to a lot of really"},{"speaker":"Mike Patterson","startTime":2172.45,"endTime":2174.37,"body":"knowledgeable people who are by"},{"speaker":"Mike Patterson","startTime":2174.37,"endTime":2176.62,"body":"background, sports nutritionist,"},{"speaker":"Mike Patterson","startTime":2176.65,"endTime":2178.45,"body":"but do a lot of stuff that's"},{"speaker":"Mike Patterson","startTime":2178.51,"endTime":2179.98,"body":"very, very clinically relevant."},{"speaker":"Mike Patterson","startTime":2180.31,"endTime":2182.41,"body":"So again, I say we're fighters."},{"speaker":"Mike Patterson","startTime":2182.44,"endTime":2184.42,"body":"And one of the things that we do"},{"speaker":"Mike Patterson","startTime":2184.42,"endTime":2187.12,"body":"with biters in terms of Alan MC,"},{"speaker":"Mike Patterson","startTime":2187.15,"endTime":2188.71,"body":"where is put them on a low"},{"speaker":"Mike Patterson","startTime":2188.71,"endTime":2190.3,"body":"residue diet. So again, low"},{"speaker":"Mike Patterson","startTime":2190.3,"endTime":2191.74,"body":"residue doesn't really have a"},{"speaker":"Mike Patterson","startTime":2191.74,"endTime":2194.02,"body":"definition, no one can really"},{"speaker":"Mike Patterson","startTime":2194.02,"endTime":2195.88,"body":"say what low residue is what is"},{"speaker":"Mike Patterson","startTime":2195.88,"endTime":2197.14,"body":"residue, and you've got its"},{"speaker":"Mike Patterson","startTime":2197.14,"endTime":2199.69,"body":"moral fibre diet. Again, it's a"},{"speaker":"Mike Patterson","startTime":2199.69,"endTime":2201.34,"body":"little bit more in terms of it's"},{"speaker":"Mike Patterson","startTime":2201.34,"endTime":2202.66,"body":"a little bit more theoretical,"},{"speaker":"Mike Patterson","startTime":2202.72,"endTime":2204.85,"body":"whereas the team Liverpool, john"},{"speaker":"Mike Patterson","startTime":2204.85,"endTime":2207.04,"body":"Moore's are actually looking at"},{"speaker":"Mike Patterson","startTime":2207.04,"endTime":2207.91,"body":"this. So they're going to do"},{"speaker":"Mike Patterson","startTime":2207.91,"endTime":2209.32,"body":"some trials, in terms of what"},{"speaker":"Mike Patterson","startTime":2209.32,"endTime":2211.33,"body":"we're different actually happens"},{"speaker":"Mike Patterson","startTime":2211.36,"endTime":2213.85,"body":"with a low residue, low fibre"},{"speaker":"Mike Patterson","startTime":2213.85,"endTime":2215.26,"body":"diet, and so it's something that"},{"speaker":"Mike Patterson","startTime":2215.26,"endTime":2216.97,"body":"they use with their so there's a"},{"speaker":"Mike Patterson","startTime":2216.97,"endTime":2219.01,"body":"chap called Colin Evans, who"},{"speaker":"Mike Patterson","startTime":2219.01,"endTime":2220.72,"body":"does a lot with professional"},{"speaker":"Mike Patterson","startTime":2220.72,"endTime":2222.37,"body":"fighters. So he's looking into"},{"speaker":"Mike Patterson","startTime":2222.37,"endTime":2223.48,"body":"it. And I think it'd be quite"},{"speaker":"Mike Patterson","startTime":2223.48,"endTime":2224.59,"body":"interesting in terms of what"},{"speaker":"Mike Patterson","startTime":2224.59,"endTime":2226.87,"body":"they find with the low residue"},{"speaker":"Mike Patterson","startTime":2226.87,"endTime":2228.46,"body":"or the low fibre diet in terms"},{"speaker":"Mike Patterson","startTime":2228.46,"endTime":2229.93,"body":"of what happens with these sort"},{"speaker":"Mike Patterson","startTime":2229.93,"endTime":2231.97,"body":"of the wear of people's stalls"},{"speaker":"Mike Patterson","startTime":2231.97,"endTime":2232.99,"body":"and what happens with it,"},{"speaker":"Mike Patterson","startTime":2232.99,"endTime":2234.43,"body":"because it's going to be quite"},{"speaker":"Mike Patterson","startTime":2234.43,"endTime":2235.81,"body":"applicable to what we do with"},{"speaker":"Mike Patterson","startTime":2235.81,"endTime":2237.85,"body":"stoma patients. We tell a high"},{"speaker":"Mike Patterson","startTime":2237.85,"endTime":2239.56,"body":"output stoma patient, you need"},{"speaker":"Mike Patterson","startTime":2239.56,"endTime":2241.78,"body":"to follow a low fibre low"},{"speaker":"Mike Patterson","startTime":2241.78,"endTime":2242.92,"body":"residue diet because it's going"},{"speaker":"Mike Patterson","startTime":2242.92,"endTime":2244.3,"body":"to reduce the output from your"},{"speaker":"Mike Patterson","startTime":2244.3,"endTime":2246.58,"body":"stoma and some things that"},{"speaker":"Mike Patterson","startTime":2246.58,"endTime":2247.51,"body":"they're going to do with these"},{"speaker":"Mike Patterson","startTime":2247.66,"endTime":2249.13,"body":"patients. Yes, the physiology is"},{"speaker":"Mike Patterson","startTime":2249.13,"endTime":2250.06,"body":"going to be slightly different,"},{"speaker":"Mike Patterson","startTime":2250.63,"endTime":2252.13,"body":"slightly different, but it'll be"},{"speaker":"Mike Patterson","startTime":2252.13,"endTime":2253.39,"body":"quite interesting to see sort of"},{"speaker":"Mike Patterson","startTime":2253.42,"endTime":2254.77,"body":"what's coming out in terms of a"},{"speaker":"Mike Patterson","startTime":2254.77,"endTime":2256.51,"body":"dry or wet wet from there still"},{"speaker":"Mike Patterson","startTime":2256.51,"endTime":2258.16,"body":"and what will happen actually,"},{"speaker":"Mike Patterson","startTime":2258.16,"endTime":2259.54,"body":"in terms of the stoma patient,"},{"speaker":"Mike Patterson","startTime":2259.57,"endTime":2261.01,"body":"something's out there the links"},{"speaker":"Mike Patterson","startTime":2261.01,"endTime":2263.05,"body":"between sports and clinical,"},{"speaker":"Mike Patterson","startTime":2263.14,"endTime":2264.52,"body":"probably flossing, and people"},{"speaker":"Mike Patterson","startTime":2264.52,"endTime":2264.97,"body":"think"},{"speaker":"Aaron Boysen","startTime":2265.03,"endTime":2265.57,"body":"definitely,"},{"speaker":"Aaron Boysen","startTime":2265.57,"endTime":2266.62,"body":"especially with that example,"},{"speaker":"Aaron Boysen","startTime":2266.62,"endTime":2268.39,"body":"you just shared. So in the"},{"speaker":"Aaron Boysen","startTime":2268.39,"endTime":2270.16,"body":"thread also, you talked a little"},{"speaker":"Aaron Boysen","startTime":2270.16,"endTime":2271.78,"body":"bit about weight management. Now"},{"speaker":"Aaron Boysen","startTime":2271.78,"endTime":2273.58,"body":"many dietitians might think I'm"},{"speaker":"Aaron Boysen","startTime":2273.58,"endTime":2275.08,"body":"not in weight management, so why"},{"speaker":"Aaron Boysen","startTime":2275.08,"endTime":2276.67,"body":"would I need to know about it,"},{"speaker":"Aaron Boysen","startTime":2276.82,"endTime":2278.17,"body":"but you think every dietitian"},{"speaker":"Aaron Boysen","startTime":2278.17,"endTime":2279.19,"body":"should know about it?"},{"speaker":"Mike Patterson","startTime":2279.22,"endTime":2281.14,"body":"Why. So this"},{"speaker":"Mike Patterson","startTime":2281.14,"endTime":2284.29,"body":"goes to the trusted dietitian,"},{"speaker":"Mike Patterson","startTime":2284.56,"endTime":2286.24,"body":"dietitians are the experts. I"},{"speaker":"Mike Patterson","startTime":2286.24,"endTime":2288.91,"body":"like to think that you would"},{"speaker":"Mike Patterson","startTime":2288.91,"endTime":2290.8,"body":"trust dietitians, we are the"},{"speaker":"Mike Patterson","startTime":2290.8,"endTime":2292.45,"body":"experts in a lot of areas, but I"},{"speaker":"Mike Patterson","startTime":2292.45,"endTime":2295.15,"body":"think people use that as sort of"},{"speaker":"Mike Patterson","startTime":2295.15,"endTime":2297.19,"body":"We Are the be all and end all of"},{"speaker":"Mike Patterson","startTime":2297.19,"endTime":2299.44,"body":"nutrition is a protected title."},{"speaker":"Mike Patterson","startTime":2299.44,"endTime":2300.4,"body":"And I think a lot of"},{"speaker":"Mike Patterson","startTime":2300.67,"endTime":2302.41,"body":"nutritionists, sports nutrition,"},{"speaker":"Mike Patterson","startTime":2302.41,"endTime":2304.06,"body":"when it came to the real nitty"},{"speaker":"Mike Patterson","startTime":2304.06,"endTime":2305.32,"body":"gritty of Clinical Nutrition"},{"speaker":"Mike Patterson","startTime":2305.32,"endTime":2306.88,"body":"would be absolutely clueless,"},{"speaker":"Mike Patterson","startTime":2306.91,"endTime":2308.26,"body":"the wonder what the doing. So"},{"speaker":"Mike Patterson","startTime":2308.26,"endTime":2309.55,"body":"this is why we are protected"},{"speaker":"Mike Patterson","startTime":2309.55,"endTime":2310.63,"body":"because we do have that"},{"speaker":"Mike Patterson","startTime":2310.63,"endTime":2312.04,"body":"knowledge is very, very"},{"speaker":"Mike Patterson","startTime":2312.04,"endTime":2314.17,"body":"critical. But I think to be sort"},{"speaker":"Mike Patterson","startTime":2314.17,"endTime":2317.32,"body":"of seen as an expert, I don't"},{"speaker":"Mike Patterson","startTime":2317.35,"endTime":2319.24,"body":"like that word for an expert to"},{"speaker":"Mike Patterson","startTime":2319.24,"endTime":2321.07,"body":"me, you have to be so who would"},{"speaker":"Mike Patterson","startTime":2321.28,"endTime":2323.29,"body":"Mr. Ridley the unshackled you"},{"speaker":"Mike Patterson","startTime":2323.29,"endTime":2325.12,"body":"know, these, these really good"},{"speaker":"Mike Patterson","startTime":2325.12,"endTime":2326.92,"body":"researchers cover Australia, I"},{"speaker":"Mike Patterson","startTime":2326.92,"endTime":2328.45,"body":"would say they are experts, they"},{"speaker":"Mike Patterson","startTime":2328.45,"endTime":2330.34,"body":"have a thesis, they are experts,"},{"speaker":"Mike Patterson","startTime":2330.37,"endTime":2330.97,"body":"the stuff that they're"},{"speaker":"Mike Patterson","startTime":2330.97,"endTime":2331.93,"body":"publishing is brilliant,"},{"speaker":"Mike Patterson","startTime":2332.2,"endTime":2333.88,"body":"brilliant, knowledgeable. But I"},{"speaker":"Mike Patterson","startTime":2333.88,"endTime":2335.56,"body":"think as a dietitian, you need"},{"speaker":"Mike Patterson","startTime":2335.56,"endTime":2336.76,"body":"to have a good understanding of"},{"speaker":"Mike Patterson","startTime":2336.76,"endTime":2339.07,"body":"the basics. So this was put into"},{"speaker":"Mike Patterson","startTime":2339.07,"endTime":2340.9,"body":"me from Lindsey King and Helen"},{"speaker":"Mike Patterson","startTime":2340.9,"endTime":2341.98,"body":"white, which I'm sure you'll be"},{"speaker":"Mike Patterson","startTime":2341.98,"endTime":2343.72,"body":"aware of if you went to Leeds."},{"speaker":"Mike Patterson","startTime":2343.75,"endTime":2345.07,"body":"So what they said to me is, as a"},{"speaker":"Mike Patterson","startTime":2345.07,"endTime":2346.63,"body":"dietitian to Joe public are"},{"speaker":"Mike Patterson","startTime":2346.63,"endTime":2348.7,"body":"gonna want you to know, the"},{"speaker":"Mike Patterson","startTime":2348.85,"endTime":2350.26,"body":"random questions on this new"},{"speaker":"Mike Patterson","startTime":2350.26,"endTime":2351.43,"body":"diets out what's your thoughts"},{"speaker":"Mike Patterson","startTime":2351.43,"endTime":2352.93,"body":"on it? What's the best thing for"},{"speaker":"Mike Patterson","startTime":2352.93,"endTime":2355.3,"body":"web management? Are my son plays"},{"speaker":"Mike Patterson","startTime":2355.3,"endTime":2356.5,"body":"football, he runs all these 10"},{"speaker":"Mike Patterson","startTime":2356.5,"endTime":2358.18,"body":"cares? What does he need to do?"},{"speaker":"Mike Patterson","startTime":2358.57,"endTime":2360.22,"body":"So these are quite like random"},{"speaker":"Mike Patterson","startTime":2360.22,"endTime":2361.03,"body":"questions that the general"},{"speaker":"Mike Patterson","startTime":2361.03,"endTime":2362.92,"body":"public gonna want you to know"},{"speaker":"Mike Patterson","startTime":2362.92,"endTime":2364.93,"body":"about. So if you say trust a"},{"speaker":"Mike Patterson","startTime":2364.93,"endTime":2366.31,"body":"decision, we are the expert,"},{"speaker":"Mike Patterson","startTime":2366.31,"endTime":2367.36,"body":"you're gonna have to have a"},{"speaker":"Mike Patterson","startTime":2367.36,"endTime":2369.4,"body":"basic knowledge of what the"},{"speaker":"Mike Patterson","startTime":2369.4,"endTime":2371.35,"body":"current evidence is for pretty"},{"speaker":"Mike Patterson","startTime":2371.35,"endTime":2372.73,"body":"basic super sports nutrition,"},{"speaker":"Mike Patterson","startTime":2373.09,"endTime":2374.44,"body":"what the current evidence is for"},{"speaker":"Mike Patterson","startTime":2374.47,"endTime":2376.03,"body":"weight management is low carb"},{"speaker":"Mike Patterson","startTime":2376.03,"endTime":2377.86,"body":"best, this high carb rest, you"},{"speaker":"Mike Patterson","startTime":2377.86,"endTime":2379.03,"body":"know, we're getting to that"},{"speaker":"Mike Patterson","startTime":2379.03,"endTime":2380.74,"body":"debate because the goal though"},{"speaker":"Mike Patterson","startTime":2380.74,"endTime":2382.78,"body":"is if you have that new, good"},{"speaker":"Mike Patterson","startTime":2383.14,"endTime":2384.76,"body":"understanding of the basic"},{"speaker":"Mike Patterson","startTime":2384.76,"endTime":2387.22,"body":"knowledge, I'm not expecting ICU"},{"speaker":"Mike Patterson","startTime":2387.22,"endTime":2389.17,"body":"dietitian to have the best web"},{"speaker":"Mike Patterson","startTime":2389.17,"endTime":2390.01,"body":"management knowledge in the"},{"speaker":"Mike Patterson","startTime":2390.01,"endTime":2391.87,"body":"world and run, you know, tier"},{"speaker":"Mike Patterson","startTime":2391.87,"endTime":2394.12,"body":"three tier four clinic or if"},{"speaker":"Mike Patterson","startTime":2394.12,"endTime":2395.05,"body":"they have a good understanding"},{"speaker":"Mike Patterson","startTime":2395.05,"endTime":2396.31,"body":"of Oh, yeah, that review came"},{"speaker":"Mike Patterson","startTime":2396.31,"endTime":2397.6,"body":"out recently to say that"},{"speaker":"Mike Patterson","startTime":2397.69,"endTime":2399.22,"body":"actually, if calories are"},{"speaker":"Mike Patterson","startTime":2399.22,"endTime":2401.14,"body":"controlled brought in equal, no"},{"speaker":"Mike Patterson","startTime":2401.14,"endTime":2402.49,"body":"weight loss is better than that."},{"speaker":"Mike Patterson","startTime":2402.76,"endTime":2404.41,"body":"I just think that helps the"},{"speaker":"Mike Patterson","startTime":2404.41,"endTime":2405.82,"body":"profession that little bit more"},{"speaker":"Mike Patterson","startTime":2406.09,"endTime":2407.32,"body":"gains that a little bit more"},{"speaker":"Mike Patterson","startTime":2407.32,"endTime":2409.09,"body":"respect in terms of from the"},{"speaker":"Mike Patterson","startTime":2409.09,"endTime":2410.8,"body":"other sort of areas of nutrition"},{"speaker":"Mike Patterson","startTime":2410.8,"endTime":2412.99,"body":"is yet where the experts on"},{"speaker":"Mike Patterson","startTime":2413.08,"endTime":2414.25,"body":"really, really clinical side of"},{"speaker":"Mike Patterson","startTime":2414.25,"endTime":2415.93,"body":"things. But we do have a good"},{"speaker":"Mike Patterson","startTime":2415.96,"endTime":2418.12,"body":"foundation of general nutrition"},{"speaker":"Mike Patterson","startTime":2418.45,"endTime":2419.74,"body":"stuff that maybe is a bit more"},{"speaker":"Mike Patterson","startTime":2419.74,"endTime":2420.34,"body":"public health."},{"speaker":"Aaron Boysen","startTime":2420.37,"endTime":2421.57,"body":"Yeah, exactly. So"},{"speaker":"Aaron Boysen","startTime":2421.57,"endTime":2424.0,"body":"it's knowing the answer to the"},{"speaker":"Aaron Boysen","startTime":2424.0,"endTime":2425.59,"body":"questions Joe public want to"},{"speaker":"Aaron Boysen","startTime":2425.59,"endTime":2426.91,"body":"know, because they're not going"},{"speaker":"Aaron Boysen","startTime":2426.91,"endTime":2428.5,"body":"to ask you about more clinical"},{"speaker":"Aaron Boysen","startTime":2428.5,"endTime":2429.13,"body":"questions."},{"speaker":"Mike Patterson","startTime":2429.16,"endTime":2429.58,"body":"What I don't"},{"speaker":"Mike Patterson","startTime":2429.58,"endTime":2430.84,"body":"what do I What do I feed the"},{"speaker":"Mike Patterson","startTime":2430.84,"endTime":2431.98,"body":"beast patient on the fields on"},{"speaker":"Mike Patterson","startTime":2431.98,"endTime":2434.71,"body":"the unit? Well, they might do is"},{"speaker":"Mike Patterson","startTime":2434.71,"endTime":2436.6,"body":"fasting better than keto? Is"},{"speaker":"Mike Patterson","startTime":2436.6,"endTime":2438.94,"body":"keto, about Weight Watchers? You"},{"speaker":"Mike Patterson","startTime":2438.94,"endTime":2439.84,"body":"know, these are the sorts of"},{"speaker":"Mike Patterson","startTime":2439.84,"endTime":2440.68,"body":"things that someone's going to"},{"speaker":"Mike Patterson","startTime":2440.68,"endTime":2443.05,"body":"ask you. So it's just sort of"},{"speaker":"Mike Patterson","startTime":2443.05,"endTime":2445.18,"body":"having that decent foundational"},{"speaker":"Mike Patterson","startTime":2445.18,"endTime":2448.99,"body":"knowledge to say, well, x, y,"},{"speaker":"Mike Patterson","startTime":2448.99,"endTime":2450.4,"body":"and Zed. You know, this is"},{"speaker":"Mike Patterson","startTime":2450.4,"endTime":2451.33,"body":"probably not better than this,"},{"speaker":"Mike Patterson","startTime":2451.33,"endTime":2452.23,"body":"because of this."},{"speaker":"Aaron Boysen","startTime":2452.26,"endTime":2453.1,"body":"So how does the"},{"speaker":"Aaron Boysen","startTime":2453.1,"endTime":2454.27,"body":"dietitian get all this"},{"speaker":"Aaron Boysen","startTime":2454.27,"endTime":2456.7,"body":"knowledge? I mean, there's so"},{"speaker":"Aaron Boysen","startTime":2456.7,"endTime":2458.53,"body":"much information out there. And"},{"speaker":"Aaron Boysen","startTime":2458.53,"endTime":2460.81,"body":"they're working days only, maybe"},{"speaker":"Aaron Boysen","startTime":2460.81,"endTime":2462.1,"body":"half eight to half, or,"},{"speaker":"Mike Patterson","startTime":2462.43,"endTime":2463.36,"body":"yeah, it is you"},{"speaker":"Mike Patterson","startTime":2463.36,"endTime":2464.62,"body":"have to be a massive nerd"},{"speaker":"Mike Patterson","startTime":2464.62,"endTime":2466.12,"body":"lightweight, just pretty much"},{"speaker":"Mike Patterson","startTime":2466.18,"endTime":2467.47,"body":"read all this stuff. So there's"},{"speaker":"Mike Patterson","startTime":2467.47,"endTime":2469.33,"body":"a few different things. And I'd"},{"speaker":"Mike Patterson","startTime":2469.33,"endTime":2471.94,"body":"say. So one thing that I gained"},{"speaker":"Mike Patterson","startTime":2471.97,"endTime":2473.29,"body":"massive amounts of knowledge"},{"speaker":"Mike Patterson","startTime":2473.29,"endTime":2474.82,"body":"from this is hopeless, something"},{"speaker":"Mike Patterson","startTime":2474.82,"endTime":2476.77,"body":"I'll be doing his podcast. So I"},{"speaker":"Mike Patterson","startTime":2476.77,"endTime":2478.72,"body":"commuted from home to Leeds and"},{"speaker":"Mike Patterson","startTime":2478.72,"endTime":2480.04,"body":"for my undergrad. So that was"},{"speaker":"Mike Patterson","startTime":2480.07,"endTime":2482.2,"body":"four years. And then I did post"},{"speaker":"Mike Patterson","startTime":2482.2,"endTime":2484.09,"body":"grad courses at noon yoplait. So"},{"speaker":"Mike Patterson","startTime":2484.09,"endTime":2485.56,"body":"that was another two years. So"},{"speaker":"Mike Patterson","startTime":2485.56,"endTime":2486.64,"body":"I've got six years worth of"},{"speaker":"Mike Patterson","startTime":2486.64,"endTime":2488.74,"body":"commutes there. So probably one"},{"speaker":"Mike Patterson","startTime":2488.74,"endTime":2490.63,"body":"of the best podcasts out there"},{"speaker":"Mike Patterson","startTime":2490.63,"endTime":2492.22,"body":"in terms of the nutrition is"},{"speaker":"Mike Patterson","startTime":2492.25,"endTime":2494.17,"body":"sigma. So Danny Landon's podcast"},{"speaker":"Mike Patterson","startTime":2494.17,"endTime":2495.97,"body":"is unbelievable. And the things"},{"speaker":"Mike Patterson","startTime":2495.97,"endTime":2497.95,"body":"he has on there is not just"},{"speaker":"Mike Patterson","startTime":2498.01,"endTime":2499.6,"body":"sports, nutrition, he has a lot"},{"speaker":"Mike Patterson","startTime":2499.6,"endTime":2501.01,"body":"of clinical stuff. And I found"},{"speaker":"Mike Patterson","startTime":2501.01,"endTime":2502.63,"body":"them really, really useful. And"},{"speaker":"Mike Patterson","startTime":2502.63,"endTime":2504.22,"body":"the thing with that is a"},{"speaker":"Mike Patterson","startTime":2504.22,"endTime":2505.48,"body":"researcher might talk about"},{"speaker":"Mike Patterson","startTime":2505.48,"endTime":2507.22,"body":"something. And then they'll"},{"speaker":"Mike Patterson","startTime":2507.22,"endTime":2508.66,"body":"usually put up their website,"},{"speaker":"Mike Patterson","startTime":2508.66,"endTime":2510.43,"body":"their social profiling, you can"},{"speaker":"Mike Patterson","startTime":2510.43,"endTime":2511.48,"body":"follow him on that. And they'll"},{"speaker":"Mike Patterson","startTime":2511.48,"endTime":2512.86,"body":"probably put on their social"},{"speaker":"Mike Patterson","startTime":2512.86,"endTime":2514.57,"body":"media, their research, they'll"},{"speaker":"Mike Patterson","startTime":2514.57,"endTime":2515.89,"body":"post on there, they might"},{"speaker":"Mike Patterson","startTime":2515.89,"endTime":2517.75,"body":"retweet someone else's research"},{"speaker":"Mike Patterson","startTime":2517.75,"endTime":2519.34,"body":"in that area. So you can follow"},{"speaker":"Mike Patterson","startTime":2519.34,"endTime":2520.3,"body":"them that way. If you're like"},{"speaker":"Mike Patterson","startTime":2520.3,"endTime":2522.01,"body":"me, you stalk researchers and"},{"speaker":"Mike Patterson","startTime":2522.01,"endTime":2523.36,"body":"research get and you see"},{"speaker":"Mike Patterson","startTime":2523.39,"endTime":2524.8,"body":"constantly get email updates"},{"speaker":"Mike Patterson","startTime":2524.8,"endTime":2525.94,"body":"from when they're publishing,"},{"speaker":"Mike Patterson","startTime":2526.03,"endTime":2527.17,"body":"it's a good idea to find out who"},{"speaker":"Mike Patterson","startTime":2527.17,"endTime":2529.63,"body":"the experts are in your area. So"},{"speaker":"Mike Patterson","startTime":2529.66,"endTime":2531.19,"body":"I mentioned before about a"},{"speaker":"Mike Patterson","startTime":2531.19,"endTime":2532.96,"body":"little bit later, in Australia,"},{"speaker":"Mike Patterson","startTime":2533.35,"endTime":2534.82,"body":"obviously, Danny bear in the UK,"},{"speaker":"Mike Patterson","startTime":2535.51,"endTime":2537.37,"body":"and then the chaplain as well"},{"speaker":"Mike Patterson","startTime":2537.37,"endTime":2539.59,"body":"from us. So Paul academicals,"},{"speaker":"Mike Patterson","startTime":2539.59,"endTime":2541.6,"body":"and Santa Vishnu, Vishnu,"},{"speaker":"Mike Patterson","startTime":2542.38,"endTime":2545.56,"body":"Denise's from Duke. And so these"},{"speaker":"Mike Patterson","startTime":2545.56,"endTime":2546.55,"body":"are sort of experts from the"},{"speaker":"Mike Patterson","startTime":2546.55,"endTime":2548.26,"body":"quick care side of things, if"},{"speaker":"Mike Patterson","startTime":2548.26,"endTime":2550.06,"body":"you follow them on social media,"},{"speaker":"Mike Patterson","startTime":2550.09,"endTime":2551.92,"body":"or even if you want to pop that"},{"speaker":"Mike Patterson","startTime":2551.92,"endTime":2554.71,"body":"out onto research get for me. So"},{"speaker":"Mike Patterson","startTime":2554.71,"endTime":2556.63,"body":"in terms of politic pn, there's"},{"speaker":"Mike Patterson","startTime":2556.63,"endTime":2558.37,"body":"a few people looking at it. So"},{"speaker":"Mike Patterson","startTime":2558.4,"endTime":2560.41,"body":"team down at UCL, the dietician"},{"speaker":"Mike Patterson","startTime":2560.41,"endTime":2562.36,"body":"called leave keen, who's doing"},{"speaker":"Mike Patterson","startTime":2562.39,"endTime":2563.47,"body":"quite a bit with some of the"},{"speaker":"Mike Patterson","startTime":2563.47,"endTime":2564.79,"body":"consultants down there from"},{"speaker":"Mike Patterson","startTime":2564.85,"endTime":2566.98,"body":"Manchester, Salford, there's a"},{"speaker":"Mike Patterson","startTime":2566.98,"endTime":2568.75,"body":"lady called AnnMarie sailboats"},{"speaker":"Mike Patterson","startTime":2568.78,"endTime":2570.73,"body":"who's doing a lot politic. And"},{"speaker":"Mike Patterson","startTime":2570.73,"endTime":2572.11,"body":"so there are people I saw start"},{"speaker":"Mike Patterson","startTime":2572.11,"endTime":2573.16,"body":"to see what's coming out from"},{"speaker":"Mike Patterson","startTime":2573.16,"endTime":2574.99,"body":"that side of things. Interesting"},{"speaker":"Mike Patterson","startTime":2574.99,"endTime":2576.1,"body":"crit care as well. So that's why"},{"speaker":"Mike Patterson","startTime":2576.1,"endTime":2577.78,"body":"I named names, I follow them. So"},{"speaker":"Mike Patterson","startTime":2577.78,"endTime":2579.58,"body":"social medias grant research get"},{"speaker":"Mike Patterson","startTime":2579.61,"endTime":2580.84,"body":"so researchgate is basically"},{"speaker":"Mike Patterson","startTime":2580.84,"endTime":2582.64,"body":"like a reset social media is"},{"speaker":"Mike Patterson","startTime":2582.64,"endTime":2583.75,"body":"where people just put what"},{"speaker":"Mike Patterson","startTime":2583.75,"endTime":2585.04,"body":"they've published on their"},{"speaker":"Mike Patterson","startTime":2585.07,"endTime":2586.45,"body":"social media places to follow"},{"speaker":"Mike Patterson","startTime":2586.45,"endTime":2588.01,"body":"people on that, as your country"},{"speaker":"Mike Patterson","startTime":2588.01,"endTime":2589.57,"body":"get old debts what they publish,"},{"speaker":"Mike Patterson","startTime":2589.84,"endTime":2593.08,"body":"and podcasts again, I think"},{"speaker":"Mike Patterson","startTime":2593.08,"endTime":2594.16,"body":"they're sort of three really"},{"speaker":"Mike Patterson","startTime":2594.16,"endTime":2596.29,"body":"useful things to find"},{"speaker":"Mike Patterson","startTime":2596.29,"endTime":2598.33,"body":"information, you do have to be a"},{"speaker":"Mike Patterson","startTime":2598.33,"endTime":2600.22,"body":"bit of a nerd, like me, you're"},{"speaker":"Mike Patterson","startTime":2600.22,"endTime":2601.45,"body":"not going to get this done"},{"speaker":"Mike Patterson","startTime":2601.48,"endTime":2602.77,"body":"between the hours of eight and"},{"speaker":"Mike Patterson","startTime":2602.77,"endTime":2603.7,"body":"four. When you're seeing"},{"speaker":"Mike Patterson","startTime":2603.7,"endTime":2605.08,"body":"patients you've got nuts to"},{"speaker":"Mike Patterson","startTime":2605.08,"endTime":2606.1,"body":"write up, you're probably not"},{"speaker":"Mike Patterson","startTime":2606.1,"endTime":2607.57,"body":"going to get all the same and"},{"speaker":"Mike Patterson","startTime":2607.57,"endTime":2609.52,"body":"obviously get solid like cn"},{"speaker":"Mike Patterson","startTime":2609.52,"endTime":2611.86,"body":"magazine, video digest and"},{"speaker":"Mike Patterson","startTime":2611.86,"endTime":2614.26,"body":"things which do have snippets in"},{"speaker":"Mike Patterson","startTime":2614.29,"endTime":2615.43,"body":"but I just don't think they"},{"speaker":"Mike Patterson","startTime":2615.43,"endTime":2617.5,"body":"probably got to the dat as much"},{"speaker":"Mike Patterson","startTime":2617.5,"endTime":2620.11,"body":"as you'd find from social media."},{"speaker":"Mike Patterson","startTime":2620.11,"endTime":2621.19,"body":"And the thing with social media"},{"speaker":"Mike Patterson","startTime":2621.19,"endTime":2623.32,"body":"is social media has its own peer"},{"speaker":"Mike Patterson","startTime":2623.32,"endTime":2625.12,"body":"review as well. So someone will"},{"speaker":"Mike Patterson","startTime":2625.12,"endTime":2626.92,"body":"publish a paper and some might"},{"speaker":"Mike Patterson","startTime":2627.04,"endTime":2628.99,"body":"comment on that maybe didn't do"},{"speaker":"Mike Patterson","startTime":2628.99,"endTime":2630.13,"body":"this right or really like the"},{"speaker":"Mike Patterson","startTime":2630.13,"endTime":2631.3,"body":"way that they've done this so"},{"speaker":"Mike Patterson","startTime":2631.3,"endTime":2632.53,"body":"you can get people's other"},{"speaker":"Mike Patterson","startTime":2632.53,"endTime":2634.03,"body":"researchers feedback on that"},{"speaker":"Mike Patterson","startTime":2634.03,"endTime":2635.11,"body":"paper straight away."},{"speaker":"Aaron Boysen","startTime":2636.13,"endTime":2637.12,"body":"Exactly. So we can"},{"speaker":"Aaron Boysen","startTime":2637.12,"endTime":2638.29,"body":"follow the people on social"},{"speaker":"Aaron Boysen","startTime":2638.29,"endTime":2640.93,"body":"media for their research. Can we"},{"speaker":"Aaron Boysen","startTime":2640.93,"endTime":2642.46,"body":"follow you on social media and"},{"speaker":"Aaron Boysen","startTime":2642.46,"endTime":2643.84,"body":"catch up with your research?"},{"speaker":"Mike Patterson","startTime":2643.87,"endTime":2644.89,"body":"Yeah, so"},{"speaker":"Mike Patterson","startTime":2644.92,"endTime":2647.44,"body":"although I just post gets follow"},{"speaker":"Mike Patterson","startTime":2647.44,"endTime":2648.82,"body":"other people for that reset."},{"speaker":"Aaron Boysen","startTime":2652.06,"endTime":2653.08,"body":"So everyone wants"},{"speaker":"Aaron Boysen","startTime":2653.08,"endTime":2654.52,"body":"to follow you on social media,"},{"speaker":"Aaron Boysen","startTime":2654.55,"endTime":2655.78,"body":"they can get some entertaining"},{"speaker":"Aaron Boysen","startTime":2655.78,"endTime":2659.05,"body":"gifts. Thank you so much for"},{"speaker":"Aaron Boysen","startTime":2659.05,"endTime":2660.4,"body":"being on the dietetics digest"},{"speaker":"Aaron Boysen","startTime":2660.4,"endTime":2661.03,"body":"podcast."},{"speaker":"Mike Patterson","startTime":2668.5,"endTime":2669.25,"body":"Some guests."},{"speaker":"Aaron Boysen","startTime":2669.88,"endTime":2670.39,"body":"Thank you"},{"speaker":"Aaron Boysen","startTime":2670.39,"endTime":2671.62,"body":"everybody for listening to the"},{"speaker":"Aaron Boysen","startTime":2671.62,"endTime":2673.3,"body":"dietetics digest podcast"},{"speaker":"Aaron Boysen","startTime":2673.33,"endTime":2674.44,"body":"references and links to"},{"speaker":"Aaron Boysen","startTime":2674.44,"endTime":2675.4,"body":"everything discussed in this"},{"speaker":"Aaron Boysen","startTime":2675.4,"endTime":2676.51,"body":"episode will be in the show"},{"speaker":"Aaron Boysen","startTime":2676.51,"endTime":2678.52,"body":"notes and join us another time"},{"speaker":"Aaron Boysen","startTime":2678.52,"endTime":2680.35,"body":"for the episode of The dietetics"},{"speaker":"Aaron Boysen","startTime":2680.35,"endTime":2681.49,"body":"digest podcast."},{"speaker":"Aaron Boysen","startTime":2686.77,"endTime":2688.24,"body":"Thanks for joining me this week"},{"speaker":"Aaron Boysen","startTime":2688.27,"endTime":2690.52,"body":"on dietetics digest, make sure"},{"speaker":"Aaron Boysen","startTime":2690.52,"endTime":2692.2,"body":"to visit my website a dietetics"},{"speaker":"Aaron Boysen","startTime":2692.2,"endTime":2693.82,"body":"digest comm where you can listen"},{"speaker":"Aaron Boysen","startTime":2693.82,"endTime":2695.59,"body":"to the podcast or why not"},{"speaker":"Aaron Boysen","startTime":2695.59,"endTime":2697.3,"body":"consider subscribing on Apple"},{"speaker":"Aaron Boysen","startTime":2697.3,"endTime":2699.1,"body":"podcasts stitcher smart radio"},{"speaker":"Aaron Boysen","startTime":2699.28,"endTime":2701.38,"body":"Spotify or basically just ask"},{"speaker":"Aaron Boysen","startTime":2701.41,"endTime":2703.18,"body":"Alexa, and you'll never miss a"},{"speaker":"Aaron Boysen","startTime":2703.18,"endTime":2705.19,"body":"show. And while you're at it, if"},{"speaker":"Aaron Boysen","startTime":2705.19,"endTime":2706.57,"body":"you found this show valuable,"},{"speaker":"Aaron Boysen","startTime":2706.96,"endTime":2708.49,"body":"you could do one of two things."},{"speaker":"Aaron Boysen","startTime":2708.61,"endTime":2710.05,"body":"Firstly, if you could leave a"},{"speaker":"Aaron Boysen","startTime":2710.05,"endTime":2711.25,"body":"review on the podcast that"},{"speaker":"Aaron Boysen","startTime":2711.25,"endTime":2712.69,"body":"you're listening to, maybe the"},{"speaker":"Aaron Boysen","startTime":2712.69,"endTime":2714.4,"body":"apple podcast or Stitcher smart"},{"speaker":"Aaron Boysen","startTime":2714.4,"endTime":2715.81,"body":"radio, and you could tell a"},{"speaker":"Aaron Boysen","startTime":2715.81,"endTime":2717.19,"body":"friend about the podcast that"},{"speaker":"Aaron Boysen","startTime":2717.19,"endTime":2718.75,"body":"would be really helpful to help"},{"speaker":"Aaron Boysen","startTime":2718.75,"endTime":2721.39,"body":"grow the podcast. Thank you so"},{"speaker":"Aaron Boysen","startTime":2721.39,"endTime":2722.83,"body":"much for the support, and have a"},{"speaker":"Aaron Boysen","startTime":2722.83,"endTime":2725.2,"body":"lovely week day, wherever you"},{"speaker":"Aaron Boysen","startTime":2725.2,"endTime":2725.41,"body":"are."}]}