{"version":"1.0.0","segments":[{"speaker":"Aaron Boysen","startTime":1.709,"endTime":4.679,"body":"Welcome to the"},{"speaker":"Aaron Boysen","startTime":1.709,"endTime":4.679,"body":"dietetics digest podcast with"},{"speaker":"Aaron Boysen","startTime":4.679,"endTime":8.849,"body":"your host and dietitian me Aaron"},{"speaker":"Aaron Boysen","startTime":4.679,"endTime":8.849,"body":"Boysen dietetics digest is a"},{"speaker":"Aaron Boysen","startTime":8.849,"endTime":13.289,"body":"podcast created and produced by"},{"speaker":"Aaron Boysen","startTime":8.849,"endTime":13.289,"body":"dieticians for dietitians, we"},{"speaker":"Aaron Boysen","startTime":13.289,"endTime":16.229,"body":"interview dieticians from around"},{"speaker":"Aaron Boysen","startTime":13.289,"endTime":16.229,"body":"the world to talk about their"},{"speaker":"Aaron Boysen","startTime":16.229,"endTime":19.439,"body":"journey and their groundbreaking"},{"speaker":"Aaron Boysen","startTime":16.229,"endTime":19.439,"body":"work. This podcast will help"},{"speaker":"Aaron Boysen","startTime":19.439,"endTime":23.189,"body":"inspire you and others to become"},{"speaker":"Aaron Boysen","startTime":19.439,"endTime":23.189,"body":"the best dietician possible."},{"speaker":"Aaron Boysen","startTime":26.219,"endTime":29.339,"body":"Thank you, Laura, for joining us"},{"speaker":"Aaron Boysen","startTime":26.219,"endTime":29.339,"body":"on this episode of The dietetics"},{"speaker":"Aaron Boysen","startTime":29.339,"endTime":31.889,"body":"digest podcast. Great to have"},{"speaker":"Aaron Boysen","startTime":29.339,"endTime":31.889,"body":"you with us today."},{"speaker":"Unknown","startTime":32.31,"endTime":34.47,"body":"Thank you. Thanks for"},{"speaker":"Unknown","startTime":32.31,"endTime":34.47,"body":"having me. I'm excited to do"},{"speaker":"Aaron Boysen","startTime":34.47,"endTime":38.28,"body":"it. Thank you for"},{"speaker":"Aaron Boysen","startTime":34.47,"endTime":38.28,"body":"dedicating your morning time ATM"},{"speaker":"Aaron Boysen","startTime":38.28,"endTime":42.24,"body":"to be precise, to record the"},{"speaker":"Aaron Boysen","startTime":38.28,"endTime":42.24,"body":"podcast. So I wanted to start"},{"speaker":"Aaron Boysen","startTime":42.24,"endTime":44.73,"body":"off with a little bit of a"},{"speaker":"Aaron Boysen","startTime":42.24,"endTime":44.73,"body":"questions around yourself but I"},{"speaker":"Aaron Boysen","startTime":44.73,"endTime":48.54,"body":"thought I'd possibly ask you to"},{"speaker":"Aaron Boysen","startTime":44.73,"endTime":48.54,"body":"maybe introduce yourself and a"},{"speaker":"Aaron Boysen","startTime":48.54,"endTime":51.9,"body":"little bit of your sort of"},{"speaker":"Aaron Boysen","startTime":48.54,"endTime":51.9,"body":"background. So I invited Laura"},{"speaker":"Aaron Boysen","startTime":51.9,"endTime":56.34,"body":"on the podcast because she is"},{"speaker":"Aaron Boysen","startTime":51.9,"endTime":56.34,"body":"one of the very few dietitians"},{"speaker":"Aaron Boysen","startTime":56.34,"endTime":60.96,"body":"within the UK that has been"},{"speaker":"Aaron Boysen","startTime":56.34,"endTime":60.96,"body":"dysphasia trained. And I"},{"speaker":"Aaron Boysen","startTime":60.96,"endTime":63.81,"body":"previously had other dietitians"},{"speaker":"Aaron Boysen","startTime":60.96,"endTime":63.81,"body":"on our podcast, which is Sam"},{"speaker":"Aaron Boysen","startTime":63.81,"endTime":67.56,"body":"Francis from Bradford teaching"},{"speaker":"Aaron Boysen","startTime":63.81,"endTime":67.56,"body":"hospital that extended his role"},{"speaker":"Aaron Boysen","startTime":67.77,"endTime":70.44,"body":"in the placement of nasal"},{"speaker":"Aaron Boysen","startTime":67.77,"endTime":70.44,"body":"gastric feeding tubes for"},{"speaker":"Aaron Boysen","startTime":70.44,"endTime":73.56,"body":"patients on a stroke ward. And I"},{"speaker":"Aaron Boysen","startTime":70.44,"endTime":73.56,"body":"think it's very interesting to"},{"speaker":"Aaron Boysen","startTime":73.56,"endTime":78.12,"body":"see how dietitians are extending"},{"speaker":"Aaron Boysen","startTime":73.56,"endTime":78.12,"body":"roles to change patient care or"},{"speaker":"Aaron Boysen","startTime":78.12,"endTime":82.71,"body":"improve patient care. And this"},{"speaker":"Aaron Boysen","startTime":78.12,"endTime":82.71,"body":"is another great example of how"},{"speaker":"Aaron Boysen","startTime":82.77,"endTime":85.77,"body":"it's just to help extend a role"},{"speaker":"Aaron Boysen","startTime":82.77,"endTime":85.77,"body":"and help to provide better"},{"speaker":"Aaron Boysen","startTime":85.77,"endTime":88.62,"body":"patient care. And usually that"},{"speaker":"Aaron Boysen","startTime":85.77,"endTime":88.62,"body":"better patient care quote"},{"speaker":"Aaron Boysen","startTime":88.62,"endTime":93.12,"body":"unquote, becomes a lot faster"},{"speaker":"Aaron Boysen","startTime":88.62,"endTime":93.12,"body":"due to sort of friction and"},{"speaker":"Aaron Boysen","startTime":93.12,"endTime":96.42,"body":"changing and professionals and"},{"speaker":"Aaron Boysen","startTime":93.12,"endTime":96.42,"body":"extra referrals being sent. So"},{"speaker":"Aaron Boysen","startTime":96.45,"endTime":98.7,"body":"Laura, if you just introduce"},{"speaker":"Aaron Boysen","startTime":96.45,"endTime":98.7,"body":"yourself who you are a little"},{"speaker":"Aaron Boysen","startTime":98.7,"endTime":99.72,"body":"bit of your background."},{"speaker":"Unknown","startTime":99.75,"endTime":102.51,"body":"So my name is Laura"},{"speaker":"Unknown","startTime":99.75,"endTime":102.51,"body":"Clark. I'm a clinical specialist"},{"speaker":"Unknown","startTime":102.51,"endTime":105.48,"body":"dietitian and I'm also a"},{"speaker":"Unknown","startTime":102.51,"endTime":105.48,"body":"dysphasia practitioner. So I"},{"speaker":"Unknown","startTime":105.48,"endTime":108.09,"body":"currently work in Doncaster so I"},{"speaker":"Unknown","startTime":105.48,"endTime":108.09,"body":"work for the rather than"},{"speaker":"Unknown","startTime":108.09,"endTime":112.65,"body":"Doncaster and South number NHS"},{"speaker":"Unknown","startTime":108.09,"endTime":112.65,"body":"Trust. I've been there for six"},{"speaker":"Unknown","startTime":112.65,"endTime":116.1,"body":"years. So I've graduated in"},{"speaker":"Unknown","startTime":112.65,"endTime":116.1,"body":"2015. And I've worked there ever"},{"speaker":"Unknown","startTime":116.1,"endTime":119.1,"body":"since I obviously do know what's"},{"speaker":"Unknown","startTime":116.1,"endTime":119.1,"body":"going off everywhere else, but"},{"speaker":"Unknown","startTime":119.1,"endTime":122.4,"body":"I'm quite Doncaster lead, and"},{"speaker":"Unknown","startTime":119.1,"endTime":122.4,"body":"I've been there right from the"},{"speaker":"Unknown","startTime":122.4,"endTime":126.72,"body":"start. So for Doncaster, born"},{"speaker":"Unknown","startTime":122.4,"endTime":126.72,"body":"and bred then yes, yes. And it's"},{"speaker":"Unknown","startTime":126.72,"endTime":129.72,"body":"not I live in bands. So it's"},{"speaker":"Unknown","startTime":126.72,"endTime":129.72,"body":"obviously a very South Yorkshire"},{"speaker":"Unknown","startTime":129.72,"endTime":134.31,"body":"based and they're doing a lot of"},{"speaker":"Unknown","startTime":129.72,"endTime":134.31,"body":"work kind of as a South"},{"speaker":"Unknown","startTime":134.31,"endTime":136.74,"body":"Yorkshire integrated care"},{"speaker":"Unknown","startTime":134.31,"endTime":136.74,"body":"system. So it all kind of fits"},{"speaker":"Unknown","startTime":136.74,"endTime":138.0,"body":"together. It's quite nice."},{"speaker":"Aaron Boysen","startTime":138.24,"endTime":140.82,"body":"If I asked you"},{"speaker":"Aaron Boysen","startTime":138.24,"endTime":140.82,"body":"what, like, what triggered the"},{"speaker":"Aaron Boysen","startTime":140.85,"endTime":143.82,"body":"motivation to become sort of"},{"speaker":"Aaron Boysen","startTime":140.85,"endTime":143.82,"body":"decides you're trained, and be"},{"speaker":"Aaron Boysen","startTime":143.82,"endTime":146.73,"body":"able to ride these assessments"},{"speaker":"Aaron Boysen","startTime":143.82,"endTime":146.73,"body":"to patients? What, what"},{"speaker":"Aaron Boysen","startTime":146.73,"endTime":149.52,"body":"triggered this within the"},{"speaker":"Aaron Boysen","startTime":146.73,"endTime":149.52,"body":"setting that you work in?"},{"speaker":"Unknown","startTime":149.55,"endTime":152.76,"body":"Yeah, so kind of how"},{"speaker":"Unknown","startTime":149.55,"endTime":152.76,"body":"did it all? Well, I guess, so I"},{"speaker":"Unknown","startTime":152.76,"endTime":155.43,"body":"obviously wasn't involved right"},{"speaker":"Unknown","startTime":152.76,"endTime":155.43,"body":"at the very start. So I kind of"},{"speaker":"Unknown","startTime":155.52,"endTime":158.46,"body":"had to go back to myself as our"},{"speaker":"Unknown","startTime":155.52,"endTime":158.46,"body":"did, you kind of, I'll do that"},{"speaker":"Unknown","startTime":158.46,"endTime":164.73,"body":"end up here. So in our dash, our"},{"speaker":"Unknown","startTime":158.46,"endTime":164.73,"body":"speech therapy team covers a"},{"speaker":"Unknown","startTime":164.73,"endTime":168.0,"body":"really large geographical area,"},{"speaker":"Unknown","startTime":164.73,"endTime":168.0,"body":"which is Doncaster. It was spun"},{"speaker":"Unknown","startTime":168.0,"endTime":171.21,"body":"out quite far, and the input"},{"speaker":"Unknown","startTime":168.0,"endTime":171.21,"body":"into lots of different teams as"},{"speaker":"Unknown","startTime":171.21,"endTime":173.79,"body":"well. So like the stroke team,"},{"speaker":"Unknown","startTime":171.21,"endTime":173.79,"body":"so what they wanted to do is"},{"speaker":"Unknown","startTime":173.79,"endTime":177.12,"body":"they wanted to look to see who"},{"speaker":"Unknown","startTime":173.79,"endTime":177.12,"body":"else actually works closely in"},{"speaker":"Unknown","startTime":177.12,"endTime":180.84,"body":"those teams that they could look"},{"speaker":"Unknown","startTime":177.12,"endTime":180.84,"body":"at kind of extended roles. So at"},{"speaker":"Unknown","startTime":180.84,"endTime":183.9,"body":"the minute in our dash, we also"},{"speaker":"Unknown","startTime":180.84,"endTime":183.9,"body":"have a community matron, who's"},{"speaker":"Unknown","startTime":183.9,"endTime":187.65,"body":"dysphasia trained, and she works"},{"speaker":"Unknown","startTime":183.9,"endTime":187.65,"body":"in with progressive neurological"},{"speaker":"Unknown","startTime":187.65,"endTime":191.25,"body":"conditions. So she now basically"},{"speaker":"Unknown","startTime":187.65,"endTime":191.25,"body":"manages all of those patients."},{"speaker":"Unknown","startTime":191.31,"endTime":194.25,"body":"So that can be things like motor"},{"speaker":"Unknown","startTime":191.31,"endTime":194.25,"body":"neuron disease, and Huntington's"},{"speaker":"Unknown","startTime":194.25,"endTime":197.31,"body":"disease. So it's kind of that"},{"speaker":"Unknown","startTime":194.25,"endTime":197.31,"body":"patient group gets to just see,"},{"speaker":"Unknown","startTime":197.58,"endTime":199.59,"body":"they get to see the nurse or the"},{"speaker":"Unknown","startTime":197.58,"endTime":199.59,"body":"nurse a bit, and then we get to"},{"speaker":"Unknown","startTime":199.59,"endTime":203.46,"body":"see her for the dysphasia part"},{"speaker":"Unknown","startTime":199.59,"endTime":203.46,"body":"as well. So I think it was some"},{"speaker":"Unknown","startTime":203.46,"endTime":207.45,"body":"kind of like service manager"},{"speaker":"Unknown","startTime":203.46,"endTime":207.45,"body":"meeting. Because basically what"},{"speaker":"Unknown","startTime":207.45,"endTime":211.23,"body":"happens is they have places on"},{"speaker":"Unknown","startTime":207.45,"endTime":211.23,"body":"the cost the dysphasia costs"},{"speaker":"Unknown","startTime":211.23,"endTime":214.56,"body":"every year. So the desired"},{"speaker":"Unknown","startTime":211.23,"endTime":214.56,"body":"amount. Okay, so which new band"},{"speaker":"Unknown","startTime":214.56,"endTime":217.71,"body":"five speech therapists starting"},{"speaker":"Unknown","startTime":214.56,"endTime":217.71,"body":"with the trust? Is there any"},{"speaker":"Unknown","startTime":217.71,"endTime":220.02,"body":"current speech therapists that"},{"speaker":"Unknown","startTime":217.71,"endTime":220.02,"body":"are band five that have not had"},{"speaker":"Unknown","startTime":220.02,"endTime":223.35,"body":"the training yet? Is there any"},{"speaker":"Unknown","startTime":220.02,"endTime":223.35,"body":"nurses who basically go on the"},{"speaker":"Unknown","startTime":223.35,"endTime":227.46,"body":"course. So my manager, being the"},{"speaker":"Unknown","startTime":223.35,"endTime":227.46,"body":"manager that she is she's very,"},{"speaker":"Unknown","startTime":227.94,"endTime":230.46,"body":"she flies a fight for dietetics?"},{"speaker":"Unknown","startTime":227.94,"endTime":230.46,"body":"She's like, why don't we have a"},{"speaker":"Unknown","startTime":230.46,"endTime":233.4,"body":"dietician, but you know, this"},{"speaker":"Unknown","startTime":230.46,"endTime":233.4,"body":"would be a really good idea. And"},{"speaker":"Unknown","startTime":233.4,"endTime":236.28,"body":"what I found out after is that"},{"speaker":"Unknown","startTime":233.4,"endTime":236.28,"body":"they actually, I thought that"},{"speaker":"Unknown","startTime":236.34,"endTime":239.16,"body":"wanted to have a dietitian, as"},{"speaker":"Unknown","startTime":236.34,"endTime":239.16,"body":"I've just said, well, they said,"},{"speaker":"Unknown","startTime":239.16,"endTime":242.94,"body":"we actually chose you basically"},{"speaker":"Unknown","startTime":239.16,"endTime":242.94,"body":"because of my skills at the time"},{"speaker":"Unknown","startTime":242.94,"endTime":246.45,"body":"what the thought I could I could"},{"speaker":"Unknown","startTime":242.94,"endTime":246.45,"body":"do so because it's a lot around"},{"speaker":"Unknown","startTime":246.45,"endTime":250.26,"body":"kind of research question in"},{"speaker":"Unknown","startTime":246.45,"endTime":250.26,"body":"practice using lots of evidence"},{"speaker":"Unknown","startTime":250.26,"endTime":253.98,"body":"based formulating hypotheses and"},{"speaker":"Unknown","startTime":250.26,"endTime":253.98,"body":"then challenging the hypotheses"},{"speaker":"Unknown","startTime":253.98,"endTime":257.55,"body":"and changing them how swallow"},{"speaker":"Unknown","startTime":253.98,"endTime":257.55,"body":"because obviously swallow"},{"speaker":"Unknown","startTime":257.55,"endTime":261.12,"body":"management the impact on so many"},{"speaker":"Unknown","startTime":257.55,"endTime":261.12,"body":"other things as we know, they"},{"speaker":"Unknown","startTime":261.12,"endTime":264.75,"body":"thought this is rightful are"},{"speaker":"Unknown","startTime":261.12,"endTime":264.75,"body":"basically so they were like,"},{"speaker":"Unknown","startTime":264.99,"endTime":267.6,"body":"Laura, would you like to do it?"},{"speaker":"Unknown","startTime":264.99,"endTime":267.6,"body":"And I want maybe me, I said, Oh,"},{"speaker":"Unknown","startTime":267.6,"endTime":272.01,"body":"yeah, that's fine. I'll do that."},{"speaker":"Unknown","startTime":267.6,"endTime":272.01,"body":"I've no idea what it entailed."},{"speaker":"Unknown","startTime":272.37,"endTime":274.83,"body":"But yeah, I always think any"},{"speaker":"Unknown","startTime":272.37,"endTime":274.83,"body":"opportunity that you get, I"},{"speaker":"Unknown","startTime":274.83,"endTime":278.43,"body":"thought this is kind of one in a"},{"speaker":"Unknown","startTime":274.83,"endTime":278.43,"body":"lifetime opportunity. So I'm"},{"speaker":"Unknown","startTime":278.43,"endTime":281.49,"body":"gonna do it. And yes, that's"},{"speaker":"Unknown","startTime":278.43,"endTime":281.49,"body":"basically the backstory."},{"speaker":"Aaron Boysen","startTime":281.819,"endTime":283.649,"body":"And you're a"},{"speaker":"Aaron Boysen","startTime":281.819,"endTime":283.649,"body":"pioneer for training and"},{"speaker":"Aaron Boysen","startTime":283.649,"endTime":288.749,"body":"practice and adjusting slightly"},{"speaker":"Aaron Boysen","startTime":283.649,"endTime":288.749,"body":"and I think helps us all I think"},{"speaker":"Aaron Boysen","startTime":288.809,"endTime":292.469,"body":"obviously, helping other people"},{"speaker":"Aaron Boysen","startTime":288.809,"endTime":292.469,"body":"blend roles and even when we"},{"speaker":"Aaron Boysen","startTime":292.469,"endTime":294.719,"body":"talk about malnutrition"},{"speaker":"Aaron Boysen","startTime":292.469,"endTime":294.719,"body":"management, I think there's"},{"speaker":"Aaron Boysen","startTime":294.719,"endTime":297.899,"body":"definitely a case to make sure"},{"speaker":"Aaron Boysen","startTime":294.719,"endTime":297.899,"body":"it's it's everyone's problem,"},{"speaker":"Aaron Boysen","startTime":297.899,"endTime":301.949,"body":"not just dietitians problem and"},{"speaker":"Aaron Boysen","startTime":297.899,"endTime":301.949,"body":"have Eyes and ears everywhere."},{"speaker":"Aaron Boysen","startTime":303.419,"endTime":307.409,"body":"sort of basic advice before sort"},{"speaker":"Aaron Boysen","startTime":303.419,"endTime":307.409,"body":"of a dietitian can get there can"},{"speaker":"Aaron Boysen","startTime":307.409,"endTime":309.629,"body":"be provided by lots of other"},{"speaker":"Aaron Boysen","startTime":307.409,"endTime":309.629,"body":"healthcare professionals to"},{"speaker":"Aaron Boysen","startTime":309.629,"endTime":312.659,"body":"support patients early. But I"},{"speaker":"Aaron Boysen","startTime":309.629,"endTime":312.659,"body":"wanted to circle back on one"},{"speaker":"Aaron Boysen","startTime":312.659,"endTime":316.649,"body":"thing you said they chose you."},{"speaker":"Aaron Boysen","startTime":312.659,"endTime":316.649,"body":"Now, what skills? Did they"},{"speaker":"Aaron Boysen","startTime":316.649,"endTime":321.179,"body":"think? Or do you have that made"},{"speaker":"Aaron Boysen","startTime":316.649,"endTime":321.179,"body":"you suitable for the role? So"},{"speaker":"Aaron Boysen","startTime":321.179,"endTime":324.239,"body":"what sort of skills should a"},{"speaker":"Aaron Boysen","startTime":321.179,"endTime":324.239,"body":"dietitian be? If they're"},{"speaker":"Aaron Boysen","startTime":324.239,"endTime":326.999,"body":"interested in this area? What"},{"speaker":"Aaron Boysen","startTime":324.239,"endTime":326.999,"body":"sort of skills they think would"},{"speaker":"Aaron Boysen","startTime":326.999,"endTime":327.929,"body":"be useful for you?"},{"speaker":"Unknown","startTime":328.139,"endTime":331.559,"body":"I think you have to"},{"speaker":"Unknown","startTime":328.139,"endTime":331.559,"body":"question you have to question a"},{"speaker":"Unknown","startTime":331.559,"endTime":333.449,"body":"lot of things and say, well,"},{"speaker":"Unknown","startTime":331.559,"endTime":333.449,"body":"could it be that awkward like"},{"speaker":"Unknown","startTime":333.449,"endTime":336.869,"body":"this, you have to be very"},{"speaker":"Unknown","startTime":333.449,"endTime":336.869,"body":"confident in asking for help."},{"speaker":"Unknown","startTime":337.379,"endTime":339.959,"body":"And asking for advice and"},{"speaker":"Unknown","startTime":337.379,"endTime":339.959,"body":"knowing when you've gone wrong."},{"speaker":"Unknown","startTime":340.169,"endTime":342.629,"body":"So taking constructive"},{"speaker":"Unknown","startTime":340.169,"endTime":342.629,"body":"criticism, which I know can be"},{"speaker":"Unknown","startTime":342.629,"endTime":345.149,"body":"quite difficult, because a lot"},{"speaker":"Unknown","startTime":342.629,"endTime":345.149,"body":"of the times I did get it wrong"},{"speaker":"Unknown","startTime":345.149,"endTime":348.149,"body":"to start with because it was it,"},{"speaker":"Unknown","startTime":345.149,"endTime":348.149,"body":"there's a lot of grey areas,"},{"speaker":"Unknown","startTime":348.689,"endTime":352.019,"body":"when it comes to swallowing in"},{"speaker":"Unknown","startTime":348.689,"endTime":352.019,"body":"dietetics. Officer, and I'm"},{"speaker":"Unknown","startTime":352.019,"endTime":356.159,"body":"saying this very broadly, it's"},{"speaker":"Unknown","startTime":352.019,"endTime":356.159,"body":"quite objective. So you know, if"},{"speaker":"Unknown","startTime":356.159,"endTime":359.099,"body":"you think anthropometry is"},{"speaker":"Unknown","startTime":356.159,"endTime":359.099,"body":"numbers, it's way biochemistry,"},{"speaker":"Unknown","startTime":359.099,"endTime":362.159,"body":"it's numbers. It's, it's all"},{"speaker":"Unknown","startTime":359.099,"endTime":362.159,"body":"quite factual, it's there. And"},{"speaker":"Unknown","startTime":362.159,"endTime":364.229,"body":"things like with the clinical"},{"speaker":"Unknown","startTime":362.159,"endTime":364.229,"body":"stuff, you know, if you've got"},{"speaker":"Unknown","startTime":364.229,"endTime":366.089,"body":"your skin and your bowels and"},{"speaker":"Unknown","startTime":364.229,"endTime":366.089,"body":"you die history, and then we're"},{"speaker":"Unknown","startTime":366.089,"endTime":368.579,"body":"counting calories, that kind of"},{"speaker":"Unknown","startTime":366.089,"endTime":368.579,"body":"thing. So are very numbers"},{"speaker":"Unknown","startTime":368.579,"endTime":373.259,"body":"based, whereas dysphasia is not"},{"speaker":"Unknown","startTime":368.579,"endTime":373.259,"body":"essentially, it's kind of you do"},{"speaker":"Unknown","startTime":373.259,"endTime":375.659,"body":"a bedside assessment, and you"},{"speaker":"Unknown","startTime":373.259,"endTime":375.659,"body":"can't, because you haven't got"},{"speaker":"Unknown","startTime":375.659,"endTime":379.109,"body":"the X ray goggles to sit and see"},{"speaker":"Unknown","startTime":375.659,"endTime":379.109,"body":"what's going on. You have to"},{"speaker":"Unknown","startTime":379.109,"endTime":381.569,"body":"basically think it could be that"},{"speaker":"Unknown","startTime":379.109,"endTime":381.569,"body":"or it could be that it could be"},{"speaker":"Unknown","startTime":381.569,"endTime":385.559,"body":"that so you've got to be quite"},{"speaker":"Unknown","startTime":381.569,"endTime":385.559,"body":"flexible. And yeah, and just"},{"speaker":"Unknown","startTime":385.559,"endTime":390.989,"body":"basically be comfortable with"},{"speaker":"Unknown","startTime":385.559,"endTime":390.989,"body":"making a clinical decision on"},{"speaker":"Unknown","startTime":390.989,"endTime":393.629,"body":"what you think is the is the"},{"speaker":"Unknown","startTime":390.989,"endTime":393.629,"body":"best thing to do. From what"},{"speaker":"Unknown","startTime":393.629,"endTime":394.289,"body":"you've seen."},{"speaker":"Aaron Boysen","startTime":394.559,"endTime":396.599,"body":"You just talking"},{"speaker":"Aaron Boysen","startTime":394.559,"endTime":396.599,"body":"about the differences between"},{"speaker":"Aaron Boysen","startTime":396.629,"endTime":401.699,"body":"say, sort of dietetic practice"},{"speaker":"Aaron Boysen","startTime":396.629,"endTime":401.699,"body":"and swallow assessments."},{"speaker":"Unknown","startTime":401.849,"endTime":405.089,"body":"So yeah, so as I said,"},{"speaker":"Unknown","startTime":401.849,"endTime":405.089,"body":"the the dietetics can be quite"},{"speaker":"Unknown","startTime":405.089,"endTime":407.819,"body":"objective, quite numbers based,"},{"speaker":"Unknown","startTime":405.089,"endTime":407.819,"body":"but the swallowing is very"},{"speaker":"Unknown","startTime":407.819,"endTime":410.819,"body":"subjective. And like said,"},{"speaker":"Unknown","startTime":407.819,"endTime":410.819,"body":"You've got different hypotheses,"},{"speaker":"Unknown","startTime":410.819,"endTime":412.709,"body":"you've got to be able to change"},{"speaker":"Unknown","startTime":410.819,"endTime":412.709,"body":"and we've got to be able to work"},{"speaker":"Unknown","startTime":412.709,"endTime":416.519,"body":"with them, and use lots of other"},{"speaker":"Unknown","startTime":412.709,"endTime":416.519,"body":"kinds of information, a bit like"},{"speaker":"Unknown","startTime":416.519,"endTime":419.369,"body":"we do in dietetics. Still, but"},{"speaker":"Unknown","startTime":416.519,"endTime":419.369,"body":"yes, it's a completely different"},{"speaker":"Unknown","startTime":419.459,"endTime":422.099,"body":"skills and approach to what"},{"speaker":"Unknown","startTime":419.459,"endTime":422.099,"body":"dietetics would be."},{"speaker":"Aaron Boysen","startTime":422.579,"endTime":424.799,"body":"So when we think"},{"speaker":"Aaron Boysen","startTime":422.579,"endTime":424.799,"body":"about this training, how did it"},{"speaker":"Aaron Boysen","startTime":424.799,"endTime":428.189,"body":"become How did it start? What"},{"speaker":"Aaron Boysen","startTime":424.799,"endTime":428.189,"body":"training Did you need to get and"},{"speaker":"Aaron Boysen","startTime":428.459,"endTime":430.199,"body":"what are you trained to be able"},{"speaker":"Aaron Boysen","startTime":428.459,"endTime":430.199,"body":"to do?"},{"speaker":"Unknown","startTime":430.889,"endTime":435.239,"body":"It was back in 2019. I"},{"speaker":"Unknown","startTime":430.889,"endTime":435.239,"body":"think COVID has kind of bled all"},{"speaker":"Unknown","startTime":435.239,"endTime":437.789,"body":"the years together after that, I"},{"speaker":"Unknown","startTime":435.239,"endTime":437.789,"body":"think when did actually do it."},{"speaker":"Unknown","startTime":437.969,"endTime":441.599,"body":"So what 2019 and something I did"},{"speaker":"Unknown","startTime":437.969,"endTime":441.599,"body":"learn, which is quite"},{"speaker":"Unknown","startTime":441.599,"endTime":444.779,"body":"interesting is I thought speech"},{"speaker":"Unknown","startTime":441.599,"endTime":444.779,"body":"therapists would do dysphasia as"},{"speaker":"Unknown","startTime":444.779,"endTime":447.209,"body":"part of that undergraduate"},{"speaker":"Unknown","startTime":444.779,"endTime":447.209,"body":"study, but the down is just"},{"speaker":"Unknown","startTime":447.419,"endTime":450.479,"body":"communication and everything"},{"speaker":"Unknown","startTime":447.419,"endTime":450.479,"body":"else that they do. So the"},{"speaker":"Unknown","startTime":450.479,"endTime":453.809,"body":"dysphasia is actually a Master's"},{"speaker":"Unknown","startTime":450.479,"endTime":453.809,"body":"Course. So it's postgraduate,"},{"speaker":"Unknown","startTime":453.809,"endTime":455.609,"body":"and even speech therapists once"},{"speaker":"Unknown","startTime":453.809,"endTime":455.609,"body":"they've done their"},{"speaker":"Unknown","startTime":455.609,"endTime":457.739,"body":"undergraduate, so they also then"},{"speaker":"Unknown","startTime":455.609,"endTime":457.739,"body":"have to go on to do the"},{"speaker":"Unknown","startTime":457.739,"endTime":460.979,"body":"dysphasia Master's Course. So"},{"speaker":"Unknown","startTime":457.739,"endTime":460.979,"body":"that's basically what I did. So"},{"speaker":"Unknown","startTime":460.979,"endTime":464.159,"body":"I did it at Sheffield, Hallam"},{"speaker":"Unknown","startTime":460.979,"endTime":464.159,"body":"University in five days face to"},{"speaker":"Unknown","startTime":464.159,"endTime":466.289,"body":"face that and I don't know what"},{"speaker":"Unknown","startTime":464.159,"endTime":466.289,"body":"they'll be doing now. And it's"},{"speaker":"Unknown","startTime":466.289,"endTime":470.789,"body":"30 credits masters module. So"},{"speaker":"Unknown","startTime":466.289,"endTime":470.789,"body":"the title is the assessment and"},{"speaker":"Unknown","startTime":470.789,"endTime":474.239,"body":"management of adults with"},{"speaker":"Unknown","startTime":470.789,"endTime":474.239,"body":"dysphasia. So when I did it,"},{"speaker":"Unknown","startTime":474.239,"endTime":476.669,"body":"there were lots of pre reading,"},{"speaker":"Unknown","startTime":474.239,"endTime":476.669,"body":"as there always is, and at the"},{"speaker":"Unknown","startTime":476.669,"endTime":479.339,"body":"time, I was thinking, Oh, my"},{"speaker":"Unknown","startTime":476.669,"endTime":479.339,"body":"gosh, this is gonna blow my mind"},{"speaker":"Unknown","startTime":479.339,"endTime":482.459,"body":"this is, you know, it were our"},{"speaker":"Unknown","startTime":479.339,"endTime":482.459,"body":"exit route very different to"},{"speaker":"Unknown","startTime":482.459,"endTime":485.579,"body":"what to what I know. So you went"},{"speaker":"Unknown","startTime":482.459,"endTime":485.579,"body":"on the course, you did the five"},{"speaker":"Unknown","startTime":485.579,"endTime":490.199,"body":"day course. And then after that,"},{"speaker":"Unknown","startTime":485.579,"endTime":490.199,"body":"you have to have 80 hours"},{"speaker":"Unknown","startTime":490.319,"endTime":493.229,"body":"working within dysphasia"},{"speaker":"Unknown","startTime":490.319,"endTime":493.229,"body":"management. And that would be"},{"speaker":"Unknown","startTime":493.229,"endTime":496.109,"body":"with a trained speech therapist"},{"speaker":"Unknown","startTime":493.229,"endTime":496.109,"body":"or with a trained another"},{"speaker":"Unknown","startTime":496.109,"endTime":500.099,"body":"dysphasia practitioner. And at"},{"speaker":"Unknown","startTime":496.109,"endTime":500.099,"body":"least 50 of those hours has to"},{"speaker":"Unknown","startTime":500.099,"endTime":503.159,"body":"do with patients. And obviously,"},{"speaker":"Unknown","startTime":500.099,"endTime":503.159,"body":"as you go along, your supervisor"},{"speaker":"Unknown","startTime":503.159,"endTime":505.499,"body":"assesses you. So it's a bit like"},{"speaker":"Unknown","startTime":503.159,"endTime":505.499,"body":"being a student dietitian,"},{"speaker":"Unknown","startTime":505.799,"endTime":508.379,"body":"because you there and you know,"},{"speaker":"Unknown","startTime":505.799,"endTime":508.379,"body":"your supervisors watching you"},{"speaker":"Unknown","startTime":508.379,"endTime":512.009,"body":"giving you feedback and that"},{"speaker":"Unknown","startTime":508.379,"endTime":512.009,"body":"kind of thing. And so we did"},{"speaker":"Unknown","startTime":512.009,"endTime":514.799,"body":"that, and then out to do two"},{"speaker":"Unknown","startTime":512.009,"endTime":514.799,"body":"case studies. So there was an"},{"speaker":"Unknown","startTime":514.799,"endTime":517.739,"body":"acute dysphasia case study and a"},{"speaker":"Unknown","startTime":514.799,"endTime":517.739,"body":"progressive disclosure case"},{"speaker":"Unknown","startTime":517.739,"endTime":521.429,"body":"study to the acute one would be"},{"speaker":"Unknown","startTime":517.739,"endTime":521.429,"body":"for example, somebody who might"},{"speaker":"Unknown","startTime":521.429,"endTime":524.669,"body":"be nil by mouth on a neuro rehab"},{"speaker":"Unknown","startTime":521.429,"endTime":524.669,"body":"Ward, you're kind of you're"},{"speaker":"Unknown","startTime":524.669,"endTime":527.519,"body":"trying to improve the swallowing"},{"speaker":"Unknown","startTime":524.669,"endTime":527.519,"body":"ability and the progressive"},{"speaker":"Unknown","startTime":527.519,"endTime":530.669,"body":"dysphasia want might be so rare,"},{"speaker":"Unknown","startTime":527.519,"endTime":530.669,"body":"for example, in a care home, and"},{"speaker":"Unknown","startTime":530.669,"endTime":534.359,"body":"that's got dementia, so this was"},{"speaker":"Unknown","startTime":530.669,"endTime":534.359,"body":"not likely to improve so you're"},{"speaker":"Unknown","startTime":534.359,"endTime":538.409,"body":"up to kind of prove how you can"},{"speaker":"Unknown","startTime":534.359,"endTime":538.409,"body":"go up and then go down and kind"},{"speaker":"Unknown","startTime":538.409,"endTime":542.339,"body":"of the textures and the levels"},{"speaker":"Unknown","startTime":538.409,"endTime":542.339,"body":"and obviously evidence in any"},{"speaker":"Unknown","startTime":542.339,"endTime":544.769,"body":"exercises and things like that,"},{"speaker":"Unknown","startTime":542.339,"endTime":544.769,"body":"that the might, you might"},{"speaker":"Unknown","startTime":544.769,"endTime":548.939,"body":"recommend. So did that and then"},{"speaker":"Unknown","startTime":544.769,"endTime":548.939,"body":"once you pass those two, I have"},{"speaker":"Unknown","startTime":548.969,"endTime":553.769,"body":"to do a critical review. So"},{"speaker":"Unknown","startTime":548.969,"endTime":553.769,"body":"around the ethical dilemmas in"},{"speaker":"Unknown","startTime":553.769,"endTime":555.959,"body":"decision management so obviously"},{"speaker":"Unknown","startTime":553.769,"endTime":555.959,"body":"I tried to make it quite"},{"speaker":"Unknown","startTime":555.959,"endTime":559.889,"body":"relevant to me in my role so I"},{"speaker":"Unknown","startTime":555.959,"endTime":559.889,"body":"did a lot around risk feeding."},{"speaker":"Unknown","startTime":560.279,"endTime":564.149,"body":"And she took a risk feed in it"},{"speaker":"Unknown","startTime":560.279,"endTime":564.149,"body":"was enteral feeding in dementia"},{"speaker":"Unknown","startTime":564.779,"endTime":567.569,"body":"thickened fluids and texture"},{"speaker":"Unknown","startTime":564.779,"endTime":567.569,"body":"modified diets because I thought"},{"speaker":"Unknown","startTime":567.569,"endTime":570.179,"body":"they're the most kind of"},{"speaker":"Unknown","startTime":567.569,"endTime":570.179,"body":"relevant to me. So that's kind"},{"speaker":"Unknown","startTime":570.179,"endTime":573.749,"body":"of just debate the, the"},{"speaker":"Unknown","startTime":570.179,"endTime":573.749,"body":"literature around what is"},{"speaker":"Unknown","startTime":573.749,"endTime":577.139,"body":"receding, kind of the evidence"},{"speaker":"Unknown","startTime":573.749,"endTime":577.139,"body":"based ventral fin and dementia"},{"speaker":"Unknown","startTime":577.139,"endTime":580.049,"body":"do thickened fluids actually"},{"speaker":"Unknown","startTime":577.139,"endTime":580.049,"body":"improve what does it improve?"},{"speaker":"Unknown","startTime":580.409,"endTime":583.259,"body":"Does it improve kind of the"},{"speaker":"Unknown","startTime":580.409,"endTime":583.259,"body":"reduce the risk of aspiration,"},{"speaker":"Unknown","startTime":583.259,"endTime":586.799,"body":"but then you've also got quality"},{"speaker":"Unknown","startTime":583.259,"endTime":586.799,"body":"of life to consider things like"},{"speaker":"Unknown","startTime":586.799,"endTime":590.099,"body":"that. So essentially, once I've"},{"speaker":"Unknown","startTime":586.799,"endTime":590.099,"body":"done all that, and it did take"},{"speaker":"Unknown","startTime":590.099,"endTime":593.009,"body":"me a while because I am a"},{"speaker":"Unknown","startTime":590.099,"endTime":593.009,"body":"learner who takes longer. I mean"},{"speaker":"Unknown","startTime":593.009,"endTime":596.729,"body":"it took me 13 months to pass my"},{"speaker":"Unknown","startTime":593.009,"endTime":596.729,"body":"driving test. So I'm definitely"},{"speaker":"Unknown","startTime":596.729,"endTime":599.549,"body":"not a quick learner at my time."},{"speaker":"Unknown","startTime":596.729,"endTime":599.549,"body":"So I know that I'm really"},{"speaker":"Unknown","startTime":599.549,"endTime":603.659,"body":"confident With what I'm doing,"},{"speaker":"Unknown","startTime":599.549,"endTime":603.659,"body":"so I think it took me over a"},{"speaker":"Unknown","startTime":603.659,"endTime":606.329,"body":"year, I would say to get all of"},{"speaker":"Unknown","startTime":603.659,"endTime":606.329,"body":"that in because at the same time"},{"speaker":"Unknown","startTime":606.329,"endTime":609.089,"body":"I'm obviously doing my dietetic"},{"speaker":"Unknown","startTime":606.329,"endTime":609.089,"body":"job as well trying to balance"},{"speaker":"Unknown","startTime":609.089,"endTime":612.569,"body":"that. So but luckily, I were"},{"speaker":"Unknown","startTime":609.089,"endTime":612.569,"body":"able to do quite a lot of it in"},{"speaker":"Unknown","startTime":612.569,"endTime":615.659,"body":"work time, hour, quite well"},{"speaker":"Unknown","startTime":612.569,"endTime":615.659,"body":"supported. And I think that's"},{"speaker":"Unknown","startTime":615.659,"endTime":618.089,"body":"because I'm, I think I would"},{"speaker":"Unknown","startTime":615.659,"endTime":618.089,"body":"like say, I'm quite good at my"},{"speaker":"Unknown","startTime":618.089,"endTime":622.259,"body":"time management, so are able to"},{"speaker":"Unknown","startTime":618.089,"endTime":622.259,"body":"kind of balance everything. So"},{"speaker":"Unknown","startTime":622.439,"endTime":624.479,"body":"once I've been out, and"},{"speaker":"Unknown","startTime":622.439,"endTime":624.479,"body":"obviously the supervisor"},{"speaker":"Unknown","startTime":624.479,"endTime":626.969,"body":"assessments as well. So once all"},{"speaker":"Unknown","startTime":624.479,"endTime":626.969,"body":"that I've been signed off, so"},{"speaker":"Unknown","startTime":626.969,"endTime":629.639,"body":"I've got the same competency as"},{"speaker":"Unknown","startTime":626.969,"endTime":629.639,"body":"a speech language therapist in"},{"speaker":"Unknown","startTime":629.639,"endTime":633.449,"body":"terms of the dysphasia training."},{"speaker":"Unknown","startTime":629.639,"endTime":633.449,"body":"So there is actually a, it's an"},{"speaker":"Unknown","startTime":633.449,"endTime":636.689,"body":"interprofessional dysphasia"},{"speaker":"Unknown","startTime":633.449,"endTime":636.689,"body":"framework, and I will reclass"},{"speaker":"Unknown","startTime":636.689,"endTime":638.969,"body":"probably as a foundation"},{"speaker":"Unknown","startTime":636.689,"endTime":638.969,"body":"dysphasia practitioner, so"},{"speaker":"Unknown","startTime":638.969,"endTime":641.999,"body":"there's things like specialists"},{"speaker":"Unknown","startTime":638.969,"endTime":641.999,"body":"and consultants, and things like"},{"speaker":"Unknown","startTime":641.999,"endTime":646.019,"body":"that. So So yeah, I was on the"},{"speaker":"Unknown","startTime":641.999,"endTime":646.019,"body":"cast that I did, I was the only"},{"speaker":"Unknown","startTime":646.019,"endTime":649.019,"body":"dietitian but there were also"},{"speaker":"Unknown","startTime":646.019,"endTime":649.019,"body":"some nurses and so physios as"},{"speaker":"Unknown","startTime":649.019,"endTime":653.159,"body":"well. So when asked to see kind"},{"speaker":"Unknown","startTime":649.019,"endTime":653.159,"body":"of other HPS, as well, it really"},{"speaker":"Unknown","startTime":653.159,"endTime":653.429,"body":"got"},{"speaker":"Aaron Boysen","startTime":654.179,"endTime":657.509,"body":"what's been the"},{"speaker":"Aaron Boysen","startTime":654.179,"endTime":657.509,"body":"reception around the idea of"},{"speaker":"Aaron Boysen","startTime":657.539,"endTime":660.929,"body":"other other healthcare"},{"speaker":"Aaron Boysen","startTime":657.539,"endTime":660.929,"body":"professionals, learning how to"},{"speaker":"Aaron Boysen","startTime":660.929,"endTime":663.239,"body":"assess patients following"},{"speaker":"Aaron Boysen","startTime":660.929,"endTime":663.239,"body":"things, what's been their"},{"speaker":"Aaron Boysen","startTime":663.839,"endTime":666.479,"body":"perception and stuff, because I"},{"speaker":"Aaron Boysen","startTime":663.839,"endTime":666.479,"body":"think sometimes it can appear a"},{"speaker":"Aaron Boysen","startTime":666.479,"endTime":670.469,"body":"bit like taking someone's role"},{"speaker":"Aaron Boysen","startTime":666.479,"endTime":670.469,"body":"or taking over someone's job or"},{"speaker":"Aaron Boysen","startTime":670.679,"endTime":676.049,"body":"an area where that particular"},{"speaker":"Aaron Boysen","startTime":670.679,"endTime":676.049,"body":"healthcare professional is an"},{"speaker":"Aaron Boysen","startTime":676.079,"endTime":680.639,"body":"expert in for ages. What's been"},{"speaker":"Aaron Boysen","startTime":676.079,"endTime":680.639,"body":"the perception of that?"},{"speaker":"Unknown","startTime":682.38,"endTime":686.58,"body":"What I received is it's"},{"speaker":"Unknown","startTime":682.38,"endTime":686.58,"body":"been nothing but great. So the"},{"speaker":"Unknown","startTime":686.58,"endTime":690.18,"body":"speech therapists, I think, well"},{"speaker":"Unknown","startTime":686.58,"endTime":690.18,"body":"actually one of them does call"},{"speaker":"Unknown","startTime":690.18,"endTime":694.02,"body":"me that honorary speech and"},{"speaker":"Unknown","startTime":690.18,"endTime":694.02,"body":"language therapist. She's, you"},{"speaker":"Unknown","startTime":694.02,"endTime":696.96,"body":"know, they are really grateful"},{"speaker":"Unknown","startTime":694.02,"endTime":696.96,"body":"because I can obviously pick up"},{"speaker":"Unknown","startTime":696.96,"endTime":700.98,"body":"referrals, so it reduces their"},{"speaker":"Unknown","startTime":696.96,"endTime":700.98,"body":"workload. So the moment in"},{"speaker":"Unknown","startTime":700.98,"endTime":703.11,"body":"Doncaster, that referrals"},{"speaker":"Unknown","startTime":700.98,"endTime":703.11,"body":"increased, I think, over the"},{"speaker":"Unknown","startTime":703.47,"endTime":706.98,"body":"course of three years increased"},{"speaker":"Unknown","startTime":703.47,"endTime":706.98,"body":"from like, in the hundreds to"},{"speaker":"Unknown","startTime":706.98,"endTime":711.21,"body":"the 1900s. So massive jump and"},{"speaker":"Unknown","startTime":706.98,"endTime":711.21,"body":"obviously staffing, it takes a"},{"speaker":"Unknown","startTime":711.21,"endTime":714.3,"body":"while to get funding and to get"},{"speaker":"Unknown","startTime":711.21,"endTime":714.3,"body":"the right staffing in place. So"},{"speaker":"Unknown","startTime":714.48,"endTime":717.18,"body":"a lot of them are heavily"},{"speaker":"Unknown","startTime":714.48,"endTime":717.18,"body":"dysphasia referral, so I think"},{"speaker":"Unknown","startTime":717.18,"endTime":721.23,"body":"it helps them it's helped them"},{"speaker":"Unknown","startTime":717.18,"endTime":721.23,"body":"massively. Also, because I'm"},{"speaker":"Unknown","startTime":721.23,"endTime":724.29,"body":"quite well known in my dietetic"},{"speaker":"Unknown","startTime":721.23,"endTime":724.29,"body":"role, and I do a lot of work out"},{"speaker":"Unknown","startTime":724.29,"endTime":726.36,"body":"and community with other"},{"speaker":"Unknown","startTime":724.29,"endTime":726.36,"body":"healthcare professionals,"},{"speaker":"Unknown","startTime":726.39,"endTime":728.7,"body":"they've actually been able to"},{"speaker":"Unknown","startTime":726.39,"endTime":728.7,"body":"come to me and say, Laura, we've"},{"speaker":"Unknown","startTime":728.7,"endTime":731.25,"body":"got this question. It's a bit"},{"speaker":"Unknown","startTime":728.7,"endTime":731.25,"body":"like I'm away into the speech"},{"speaker":"Unknown","startTime":731.25,"endTime":734.31,"body":"therapy team. So I'll obviously"},{"speaker":"Unknown","startTime":731.25,"endTime":734.31,"body":"help them if I can, from a"},{"speaker":"Unknown","startTime":734.31,"endTime":737.91,"body":"dysphasia perspective, but I can"},{"speaker":"Unknown","startTime":734.31,"endTime":737.91,"body":"also kind of be that point of"},{"speaker":"Unknown","startTime":737.91,"endTime":741.18,"body":"contact for both teams, if that"},{"speaker":"Unknown","startTime":737.91,"endTime":741.18,"body":"makes sense. So all the"},{"speaker":"Unknown","startTime":741.18,"endTime":743.31,"body":"healthcare professionals have"},{"speaker":"Unknown","startTime":741.18,"endTime":743.31,"body":"been kind of really grateful and"},{"speaker":"Unknown","startTime":743.31,"endTime":745.92,"body":"said, Laura, please, can you can"},{"speaker":"Unknown","startTime":743.31,"endTime":745.92,"body":"you just assess this patient for"},{"speaker":"Unknown","startTime":745.92,"endTime":749.73,"body":"me? So obviously, I'll have to"},{"speaker":"Unknown","startTime":745.92,"endTime":749.73,"body":"go through the right channels,"},{"speaker":"Unknown","startTime":749.73,"endTime":753.09,"body":"but I think it's it's basically"},{"speaker":"Unknown","startTime":749.73,"endTime":753.09,"body":"he's having a voice for the"},{"speaker":"Unknown","startTime":753.09,"endTime":755.79,"body":"speech therapy team as well. So"},{"speaker":"Unknown","startTime":753.09,"endTime":755.79,"body":"all the professionals have been,"},{"speaker":"Unknown","startTime":756.06,"endTime":759.51,"body":"yeah, they just thought it was"},{"speaker":"Unknown","startTime":756.06,"endTime":759.51,"body":"great. I think it goes I do"},{"speaker":"Unknown","startTime":759.54,"endTime":762.21,"body":"worry when I go into places and"},{"speaker":"Unknown","startTime":759.54,"endTime":762.21,"body":"I try and explain what I do,"},{"speaker":"Unknown","startTime":762.21,"endTime":765.15,"body":"because I don't know about you,"},{"speaker":"Unknown","startTime":762.21,"endTime":765.15,"body":"and I'm sure everybody else"},{"speaker":"Unknown","startTime":765.15,"endTime":768.57,"body":"who's listening will think this"},{"speaker":"Unknown","startTime":765.15,"endTime":768.57,"body":"they confuse the speech therapy"},{"speaker":"Unknown","startTime":768.66,"endTime":771.78,"body":"team with the dieticians and the"},{"speaker":"Unknown","startTime":768.66,"endTime":771.78,"body":"kind of micro Mia speech"},{"speaker":"Unknown","startTime":771.78,"endTime":774.33,"body":"therapists might call them"},{"speaker":"Unknown","startTime":771.78,"endTime":774.33,"body":"dietician. So when I want to say"},{"speaker":"Unknown","startTime":774.33,"endTime":779.22,"body":"do both are a bit like Oh, all"},{"speaker":"Unknown","startTime":774.33,"endTime":779.22,"body":"right. Okay. So that's the only"},{"speaker":"Unknown","startTime":779.22,"endTime":782.22,"body":"thing I would say is it can be a"},{"speaker":"Unknown","startTime":779.22,"endTime":782.22,"body":"little bit confusing for staff"},{"speaker":"Unknown","startTime":782.22,"endTime":784.32,"body":"who are kind of not working with"},{"speaker":"Unknown","startTime":782.22,"endTime":784.32,"body":"you all the time. For example, I"},{"speaker":"Unknown","startTime":784.32,"endTime":785.88,"body":"care um, staff something like"},{"speaker":"Unknown","startTime":784.32,"endTime":785.88,"body":"that."},{"speaker":"Aaron Boysen","startTime":785.91,"endTime":788.34,"body":"Yeah, I can"},{"speaker":"Aaron Boysen","startTime":785.91,"endTime":788.34,"body":"imagine it is confusing cuz they"},{"speaker":"Aaron Boysen","startTime":788.34,"endTime":791.4,"body":"already get us confused."},{"speaker":"Aaron Boysen","startTime":788.34,"endTime":791.4,"body":"Regardless, let alone if one of"},{"speaker":"Aaron Boysen","startTime":791.4,"endTime":795.42,"body":"the one on one dieticians roam"},{"speaker":"Aaron Boysen","startTime":791.4,"endTime":795.42,"body":"around and swallow assessments"},{"speaker":"Aaron Boysen","startTime":795.42,"endTime":798.24,"body":"and stuff that's that's extra"},{"speaker":"Aaron Boysen","startTime":795.42,"endTime":798.24,"body":"confusing to people."},{"speaker":"Unknown","startTime":798.45,"endTime":801.3,"body":"Yeah, definitely,"},{"speaker":"Unknown","startTime":798.45,"endTime":801.3,"body":"definitely. But hopefully, if"},{"speaker":"Unknown","startTime":801.3,"endTime":804.54,"body":"there's more of as eventually it"},{"speaker":"Unknown","startTime":801.3,"endTime":804.54,"body":"will just become a kind of a"},{"speaker":"Unknown","startTime":804.54,"endTime":806.58,"body":"team effort, really. So yeah."},{"speaker":"Aaron Boysen","startTime":806.64,"endTime":809.73,"body":"So what's your use"},{"speaker":"Aaron Boysen","startTime":806.64,"endTime":809.73,"body":"of that phrase? What's your"},{"speaker":"Aaron Boysen","startTime":809.82,"endTime":812.43,"body":"current skill level in swallow"},{"speaker":"Aaron Boysen","startTime":809.82,"endTime":812.43,"body":"assessments? Because obviously,"},{"speaker":"Aaron Boysen","startTime":812.67,"endTime":815.16,"body":"I know there's different sorts"},{"speaker":"Aaron Boysen","startTime":812.67,"endTime":815.16,"body":"of levels. And obviously, you've"},{"speaker":"Aaron Boysen","startTime":815.16,"endTime":817.95,"body":"got the bedside assessments that"},{"speaker":"Aaron Boysen","startTime":815.16,"endTime":817.95,"body":"a lot of people do, but also"},{"speaker":"Aaron Boysen","startTime":818.01,"endTime":822.36,"body":"instrumental assessments like"},{"speaker":"Aaron Boysen","startTime":818.01,"endTime":822.36,"body":"video fluoroscopy, or the fibre"},{"speaker":"Aaron Boysen","startTime":822.36,"endTime":825.0,"body":"optic endoscopic evaluation of"},{"speaker":"Aaron Boysen","startTime":822.36,"endTime":825.0,"body":"swallow assessments and things"},{"speaker":"Aaron Boysen","startTime":825.0,"endTime":828.18,"body":"like that. So what's, what's"},{"speaker":"Aaron Boysen","startTime":825.0,"endTime":828.18,"body":"your current skill level? And"},{"speaker":"Aaron Boysen","startTime":828.18,"endTime":831.27,"body":"what what level Do you plan to"},{"speaker":"Aaron Boysen","startTime":828.18,"endTime":831.27,"body":"get to? Is that Is there any"},{"speaker":"Aaron Boysen","startTime":831.66,"endTime":834.03,"body":"progression in the swallow in"},{"speaker":"Aaron Boysen","startTime":831.66,"endTime":834.03,"body":"this role? Or do you feel like"},{"speaker":"Aaron Boysen","startTime":834.03,"endTime":837.75,"body":"it? It fits quite well as it is"},{"speaker":"Aaron Boysen","startTime":834.03,"endTime":837.75,"body":"what how is it working?"},{"speaker":"Unknown","startTime":838.56,"endTime":841.98,"body":"I will say because of"},{"speaker":"Unknown","startTime":838.56,"endTime":841.98,"body":"so I work predominantly in"},{"speaker":"Unknown","startTime":842.28,"endTime":845.64,"body":"community so that's patients in"},{"speaker":"Unknown","startTime":842.28,"endTime":845.64,"body":"their own homes and care homes."},{"speaker":"Unknown","startTime":845.67,"endTime":849.27,"body":"And on our side, we I've got"},{"speaker":"Unknown","startTime":845.67,"endTime":849.27,"body":"some rehabilitation Ward, so"},{"speaker":"Unknown","startTime":849.27,"endTime":851.73,"body":"we've got acute mental health"},{"speaker":"Unknown","startTime":849.27,"endTime":851.73,"body":"wards, we've also got some"},{"speaker":"Unknown","startTime":851.73,"endTime":854.82,"body":"rehabilitation wards. So my"},{"speaker":"Unknown","startTime":851.73,"endTime":854.82,"body":"skill level is obviously at the"},{"speaker":"Unknown","startTime":854.82,"endTime":857.94,"body":"moment, we don't have fees,"},{"speaker":"Unknown","startTime":854.82,"endTime":857.94,"body":"sadly, or really nice to have"},{"speaker":"Unknown","startTime":858.18,"endTime":861.0,"body":"these kind of stats, obviously,"},{"speaker":"Unknown","startTime":858.18,"endTime":861.0,"body":"mobile, you can take that route,"},{"speaker":"Unknown","startTime":861.45,"endTime":865.35,"body":"the video for us based on the"},{"speaker":"Unknown","startTime":861.45,"endTime":865.35,"body":"acute hospital, so obviously I"},{"speaker":"Unknown","startTime":865.35,"endTime":866.94,"body":"don't work for them. There is"},{"speaker":"Unknown","startTime":865.35,"endTime":866.94,"body":"two different trusts in"},{"speaker":"Unknown","startTime":866.94,"endTime":869.73,"body":"Doncaster. So they do that. So"},{"speaker":"Unknown","startTime":866.94,"endTime":869.73,"body":"the minute is just bedside"},{"speaker":"Unknown","startTime":869.73,"endTime":872.79,"body":"assessment. But obviously we"},{"speaker":"Unknown","startTime":869.73,"endTime":872.79,"body":"would refer on to video first,"},{"speaker":"Unknown","startTime":872.79,"endTime":876.66,"body":"but if we needed to. So yeah,"},{"speaker":"Unknown","startTime":872.79,"endTime":876.66,"body":"it's just it's just the bedside"},{"speaker":"Unknown","startTime":876.66,"endTime":879.12,"body":"assessment. I think because of"},{"speaker":"Unknown","startTime":876.66,"endTime":879.12,"body":"the type of role that is and"},{"speaker":"Unknown","startTime":879.12,"endTime":882.18,"body":"because I'm a dietitian, I'm"},{"speaker":"Unknown","startTime":879.12,"endTime":882.18,"body":"obviously I'm not going to start"},{"speaker":"Unknown","startTime":882.18,"endTime":884.64,"body":"going out and doing VFX and"},{"speaker":"Unknown","startTime":882.18,"endTime":884.64,"body":"things like that. I think I will"},{"speaker":"Unknown","startTime":884.64,"endTime":887.61,"body":"stick to what I know which is"},{"speaker":"Unknown","startTime":884.64,"endTime":887.61,"body":"which is just out in community."},{"speaker":"Unknown","startTime":887.61,"endTime":890.58,"body":"If we did get a piece that will"},{"speaker":"Unknown","startTime":887.61,"endTime":890.58,"body":"be great. But yeah, I think I'll"},{"speaker":"Unknown","startTime":890.58,"endTime":894.81,"body":"probably just expand on the"},{"speaker":"Unknown","startTime":890.58,"endTime":894.81,"body":"conditions that I see. So I"},{"speaker":"Unknown","startTime":894.81,"endTime":899.1,"body":"started off with care home"},{"speaker":"Unknown","startTime":894.81,"endTime":899.1,"body":"patients because from a"},{"speaker":"Unknown","startTime":899.1,"endTime":902.49,"body":"dysphasia point of view, They"},{"speaker":"Unknown","startTime":899.1,"endTime":902.49,"body":"weren't simple. But the work"},{"speaker":"Unknown","startTime":902.79,"endTime":906.18,"body":"much easier than kind of a"},{"speaker":"Unknown","startTime":902.79,"endTime":906.18,"body":"stroke patient, for example, it"},{"speaker":"Unknown","startTime":906.18,"endTime":908.7,"body":"was common it was nil by mouth."},{"speaker":"Unknown","startTime":906.18,"endTime":908.7,"body":"So it was much easier because"},{"speaker":"Unknown","startTime":908.7,"endTime":910.98,"body":"they're already well established"},{"speaker":"Unknown","startTime":908.7,"endTime":910.98,"body":"on a diet and fluid, they were"},{"speaker":"Unknown","startTime":910.98,"endTime":914.22,"body":"just having problems with that"},{"speaker":"Unknown","startTime":910.98,"endTime":914.22,"body":"day and fluid. So it was kind of"},{"speaker":"Unknown","startTime":914.22,"endTime":918.69,"body":"easier to manage. So I started"},{"speaker":"Unknown","startTime":914.22,"endTime":918.69,"body":"doing that, which I found quite"},{"speaker":"Unknown","startTime":918.69,"endTime":921.12,"body":"helpful. And obviously having 24"},{"speaker":"Unknown","startTime":918.69,"endTime":921.12,"body":"hour care, there's always"},{"speaker":"Unknown","startTime":921.12,"endTime":923.97,"body":"somebody there to watch them. So"},{"speaker":"Unknown","startTime":921.12,"endTime":923.97,"body":"you've got that extra safety"},{"speaker":"Unknown","startTime":923.97,"endTime":927.06,"body":"blanket when you are giving you"},{"speaker":"Unknown","startTime":923.97,"endTime":927.06,"body":"advice. So you can say to them,"},{"speaker":"Unknown","startTime":927.6,"endTime":929.64,"body":"you know, if you have any"},{"speaker":"Unknown","startTime":927.6,"endTime":929.64,"body":"problems start revert back to"},{"speaker":"Unknown","startTime":929.64,"endTime":931.86,"body":"the previous recommendations,"},{"speaker":"Unknown","startTime":929.64,"endTime":931.86,"body":"give me a ring, so you've got"},{"speaker":"Unknown","startTime":931.86,"endTime":934.59,"body":"that, when you first started out"},{"speaker":"Unknown","startTime":931.86,"endTime":934.59,"body":"can be quite daunting, because"},{"speaker":"Unknown","startTime":934.59,"endTime":937.14,"body":"you know, you are advising what"},{"speaker":"Unknown","startTime":934.59,"endTime":937.14,"body":"protects you that person can or"},{"speaker":"Unknown","startTime":937.14,"endTime":940.62,"body":"can't eat safely. Then I've"},{"speaker":"Unknown","startTime":937.14,"endTime":940.62,"body":"started working on the neurobiol"},{"speaker":"Unknown","startTime":940.65,"endTime":944.91,"body":"rehabilitation Ward, which is on"},{"speaker":"Unknown","startTime":940.65,"endTime":944.91,"body":"site, which is really good,"},{"speaker":"Unknown","startTime":944.91,"endTime":947.67,"body":"because a lot of those I mean,"},{"speaker":"Unknown","startTime":944.91,"endTime":947.67,"body":"at one point, we had six"},{"speaker":"Unknown","startTime":947.73,"endTime":951.18,"body":"patients who are feeding tubes"},{"speaker":"Unknown","startTime":947.73,"endTime":951.18,"body":"in the run various kind of"},{"speaker":"Unknown","startTime":951.3,"endTime":953.79,"body":"someone nearby mouse, and we're"},{"speaker":"Unknown","startTime":951.3,"endTime":953.79,"body":"on our trail somewhere on"},{"speaker":"Unknown","startTime":954.0,"endTime":956.64,"body":"established dyeing fluids, but"},{"speaker":"Unknown","startTime":954.0,"endTime":956.64,"body":"obviously, maybe I like level"},{"speaker":"Unknown","startTime":956.64,"endTime":959.7,"body":"four, level five. So we're able"},{"speaker":"Unknown","startTime":956.64,"endTime":959.7,"body":"to work with the speech surface"},{"speaker":"Unknown","startTime":959.7,"endTime":962.79,"body":"there and practice my skills"},{"speaker":"Unknown","startTime":959.7,"endTime":962.79,"body":"doing that. And then now I've"},{"speaker":"Unknown","startTime":962.79,"endTime":966.0,"body":"just gone on to people in their"},{"speaker":"Unknown","startTime":962.79,"endTime":966.0,"body":"own homes, but we're feeding"},{"speaker":"Unknown","startTime":966.0,"endTime":968.67,"body":"tubes, I'm trying to keep it"},{"speaker":"Unknown","startTime":966.0,"endTime":968.67,"body":"really relevant to role for me"},{"speaker":"Unknown","startTime":968.67,"endTime":971.28,"body":"as a dietitian, so I can"},{"speaker":"Unknown","startTime":968.67,"endTime":971.28,"body":"actually give patients, they"},{"speaker":"Unknown","startTime":971.28,"endTime":973.8,"body":"only have to see one therapist,"},{"speaker":"Unknown","startTime":971.28,"endTime":973.8,"body":"and they get the kind of both"},{"speaker":"Unknown","startTime":973.8,"endTime":977.19,"body":"advice at the same time. So I'm"},{"speaker":"Unknown","startTime":973.8,"endTime":977.19,"body":"kind of graduating, and it's"},{"speaker":"Unknown","startTime":977.19,"endTime":980.22,"body":"more around my confidence"},{"speaker":"Unknown","startTime":977.19,"endTime":980.22,"body":"really, the team have kind of"},{"speaker":"Unknown","startTime":980.22,"endTime":983.25,"body":"said, you know, you can do it,"},{"speaker":"Unknown","startTime":980.22,"endTime":983.25,"body":"you know, you know when trust"},{"speaker":"Unknown","startTime":983.25,"endTime":985.62,"body":"route, you know, and trust for"},{"speaker":"Unknown","startTime":983.25,"endTime":985.62,"body":"support. So just give it a go."},{"speaker":"Unknown","startTime":985.89,"endTime":989.16,"body":"And what may be me, I'm quite"},{"speaker":"Unknown","startTime":985.89,"endTime":989.16,"body":"nervous and want to make sure"},{"speaker":"Unknown","startTime":989.16,"endTime":991.68,"body":"I'm fully confident before I"},{"speaker":"Unknown","startTime":989.16,"endTime":991.68,"body":"actually dive into something. So"},{"speaker":"Unknown","startTime":991.8,"endTime":996.99,"body":"yes, I feel like I'll probably"},{"speaker":"Unknown","startTime":991.8,"endTime":996.99,"body":"I'll make sure that it works for"},{"speaker":"Unknown","startTime":996.99,"endTime":999.15,"body":"the patients or whatever is"},{"speaker":"Unknown","startTime":996.99,"endTime":999.15,"body":"going to benefit the patient"},{"speaker":"Unknown","startTime":999.15,"endTime":1002.24,"body":"most. And the service, that's"},{"speaker":"Unknown","startTime":999.15,"endTime":1002.24,"body":"probably where I'll stay"},{"speaker":"Unknown","startTime":1002.24,"endTime":1006.32,"body":"working. So it's not about where"},{"speaker":"Unknown","startTime":1002.24,"endTime":1006.32,"body":"I kind of I want to increase my"},{"speaker":"Unknown","startTime":1006.32,"endTime":1009.53,"body":"skill level in terms of maybe"},{"speaker":"Unknown","startTime":1006.32,"endTime":1009.53,"body":"doing something more complex,"},{"speaker":"Unknown","startTime":1009.53,"endTime":1012.23,"body":"like Vf, things like that. It's"},{"speaker":"Unknown","startTime":1009.53,"endTime":1012.23,"body":"just more around making it work"},{"speaker":"Unknown","startTime":1012.23,"endTime":1014.0,"body":"for the service and patients."},{"speaker":"Aaron Boysen","startTime":1014.09,"endTime":1016.91,"body":"So very sort of"},{"speaker":"Aaron Boysen","startTime":1014.09,"endTime":1016.91,"body":"service focused patient focused"},{"speaker":"Aaron Boysen","startTime":1016.91,"endTime":1020.66,"body":"and focusing on the area where"},{"speaker":"Aaron Boysen","startTime":1016.91,"endTime":1020.66,"body":"the the blending of roles is"},{"speaker":"Aaron Boysen","startTime":1020.66,"endTime":1024.5,"body":"actually advantageous. Yeah, so"},{"speaker":"Aaron Boysen","startTime":1020.66,"endTime":1024.5,"body":"for example, speech and language"},{"speaker":"Aaron Boysen","startTime":1024.5,"endTime":1028.28,"body":"can do video fluoroscopy. But"},{"speaker":"Aaron Boysen","startTime":1024.5,"endTime":1028.28,"body":"what what's a speech language"},{"speaker":"Aaron Boysen","startTime":1028.28,"endTime":1031.4,"body":"therapists wouldn't be able to"},{"speaker":"Aaron Boysen","startTime":1028.28,"endTime":1031.4,"body":"do is also assess someone"},{"speaker":"Aaron Boysen","startTime":1031.4,"endTime":1035.99,"body":"swallow in their home, and then"},{"speaker":"Aaron Boysen","startTime":1031.4,"endTime":1035.99,"body":"also adjust their feeding regime"},{"speaker":"Aaron Boysen","startTime":1036.05,"endTime":1039.29,"body":"accordingly. And so doing both"},{"speaker":"Aaron Boysen","startTime":1036.05,"endTime":1039.29,"body":"of those and actually providing"},{"speaker":"Aaron Boysen","startTime":1039.29,"endTime":1043.25,"body":"that that mixture of care, but"},{"speaker":"Aaron Boysen","startTime":1039.29,"endTime":1043.25,"body":"maybe not the more, more"},{"speaker":"Aaron Boysen","startTime":1043.25,"endTime":1046.25,"body":"instrumental assessments that"},{"speaker":"Aaron Boysen","startTime":1043.25,"endTime":1046.25,"body":"speech and language therapists"},{"speaker":"Aaron Boysen","startTime":1046.25,"endTime":1048.56,"body":"would do. And I think that's a"},{"speaker":"Aaron Boysen","startTime":1046.25,"endTime":1048.56,"body":"that's a brilliant way to ensure"},{"speaker":"Aaron Boysen","startTime":1048.56,"endTime":1053.06,"body":"that patients get timely service"},{"speaker":"Aaron Boysen","startTime":1048.56,"endTime":1053.06,"body":"and also reduce the amount of"},{"speaker":"Aaron Boysen","startTime":1053.06,"endTime":1055.49,"body":"professionals they need to see"},{"speaker":"Aaron Boysen","startTime":1053.06,"endTime":1055.49,"body":"how many visits they get a day"},{"speaker":"Aaron Boysen","startTime":1055.49,"endTime":1060.59,"body":"and things like that. And how"},{"speaker":"Aaron Boysen","startTime":1055.49,"endTime":1060.59,"body":"much extra time do your visits"},{"speaker":"Aaron Boysen","startTime":1060.59,"endTime":1062.84,"body":"take? Is it like a double book"},{"speaker":"Aaron Boysen","startTime":1060.59,"endTime":1062.84,"body":"visit? Or is it"},{"speaker":"Unknown","startTime":1065.03,"endTime":1068.48,"body":"because I'm travelling,"},{"speaker":"Unknown","startTime":1065.03,"endTime":1068.48,"body":"so obviously, the care homes,"},{"speaker":"Unknown","startTime":1068.84,"endTime":1072.32,"body":"we've got a really robust"},{"speaker":"Unknown","startTime":1068.84,"endTime":1072.32,"body":"malnutrition universal screens"},{"speaker":"Unknown","startTime":1072.32,"endTime":1075.56,"body":"or pathway for the care homes in"},{"speaker":"Unknown","startTime":1072.32,"endTime":1075.56,"body":"Doncaster, they're very managed,"},{"speaker":"Unknown","startTime":1075.59,"endTime":1078.92,"body":"not very much managed within the"},{"speaker":"Unknown","startTime":1075.59,"endTime":1078.92,"body":"care home itself. So when I was"},{"speaker":"Unknown","startTime":1078.92,"endTime":1081.35,"body":"in the care of patients, they"},{"speaker":"Unknown","startTime":1078.92,"endTime":1081.35,"body":"wouldn't, I wouldn't necessarily"},{"speaker":"Unknown","startTime":1081.35,"endTime":1084.08,"body":"be seen for a dietetic reason."},{"speaker":"Unknown","startTime":1081.35,"endTime":1084.08,"body":"But obviously, that's because I"},{"speaker":"Unknown","startTime":1084.08,"endTime":1087.41,"body":"will kind of first started out"},{"speaker":"Unknown","startTime":1084.08,"endTime":1087.41,"body":"then when I would see the"},{"speaker":"Unknown","startTime":1087.41,"endTime":1090.32,"body":"patients in the neuro rehab"},{"speaker":"Unknown","startTime":1087.41,"endTime":1090.32,"body":"setting, I guess it kind of I"},{"speaker":"Unknown","startTime":1090.32,"endTime":1094.85,"body":"spend more time doing the"},{"speaker":"Unknown","startTime":1090.32,"endTime":1094.85,"body":"dysphasia like kind of hands on"},{"speaker":"Unknown","startTime":1094.85,"endTime":1096.8,"body":"type because a lot of the"},{"speaker":"Unknown","startTime":1094.85,"endTime":1096.8,"body":"dietetics will be kind of"},{"speaker":"Unknown","startTime":1096.8,"endTime":1098.36,"body":"reading through the notes,"},{"speaker":"Unknown","startTime":1096.8,"endTime":1098.36,"body":"checking what they've been"},{"speaker":"Unknown","startTime":1098.36,"endTime":1102.29,"body":"having check in a tolerance. So"},{"speaker":"Unknown","startTime":1098.36,"endTime":1102.29,"body":"I think hands on time, I think"},{"speaker":"Unknown","startTime":1102.29,"endTime":1105.74,"body":"actually do less dietetic comes"},{"speaker":"Unknown","startTime":1102.29,"endTime":1105.74,"body":"to hands on then I do swallowing"},{"speaker":"Unknown","startTime":1105.74,"endTime":1109.37,"body":"I tend to do more of that. So I"},{"speaker":"Unknown","startTime":1105.74,"endTime":1109.37,"body":"want to say it takes me too much"},{"speaker":"Unknown","startTime":1109.37,"endTime":1111.92,"body":"longer. I think because I'm"},{"speaker":"Unknown","startTime":1109.37,"endTime":1111.92,"body":"quite confident in the role of"},{"speaker":"Unknown","startTime":1111.92,"endTime":1114.71,"body":"working within dietetics that"},{"speaker":"Unknown","startTime":1111.92,"endTime":1114.71,"body":"might only take me like 10"},{"speaker":"Unknown","startTime":1114.71,"endTime":1117.26,"body":"minutes. It's the swallowing"},{"speaker":"Unknown","startTime":1114.71,"endTime":1117.26,"body":"that takes me a lot longer"},{"speaker":"Unknown","startTime":1117.26,"endTime":1119.96,"body":"because that's kind of what's"},{"speaker":"Unknown","startTime":1117.26,"endTime":1119.96,"body":"new to me. So I think because"},{"speaker":"Unknown","startTime":1119.96,"endTime":1123.44,"body":"I'm in a position from a"},{"speaker":"Unknown","startTime":1119.96,"endTime":1123.44,"body":"dietetic perspective, as well"},{"speaker":"Unknown","startTime":1123.44,"endTime":1126.2,"body":"because what we tend to our"},{"speaker":"Unknown","startTime":1123.44,"endTime":1126.2,"body":"candidate specialisms as such"},{"speaker":"Unknown","startTime":1126.2,"endTime":1128.33,"body":"and Dietetics is an interesting"},{"speaker":"Unknown","startTime":1126.2,"endTime":1128.33,"body":"support and his whole mental"},{"speaker":"Unknown","startTime":1128.33,"endTime":1131.24,"body":"feeding like the complex gastro"},{"speaker":"Unknown","startTime":1128.33,"endTime":1131.24,"body":"and head and neck or centre, the"},{"speaker":"Unknown","startTime":1131.24,"endTime":1135.23,"body":"acute or so from a dietetic"},{"speaker":"Unknown","startTime":1131.24,"endTime":1135.23,"body":"furtive it is, it's much I'm"},{"speaker":"Unknown","startTime":1135.23,"endTime":1138.02,"body":"quite skilled in that area. So"},{"speaker":"Unknown","startTime":1135.23,"endTime":1138.02,"body":"it's not it didn't take me as"},{"speaker":"Unknown","startTime":1138.02,"endTime":1141.23,"body":"long. So it's just the dysphasia"},{"speaker":"Unknown","startTime":1138.02,"endTime":1141.23,"body":"that takes time."},{"speaker":"Aaron Boysen","startTime":1142.67,"endTime":1144.74,"body":"When you when you"},{"speaker":"Aaron Boysen","startTime":1142.67,"endTime":1144.74,"body":"put the swallow assessment, is"},{"speaker":"Aaron Boysen","startTime":1144.74,"endTime":1148.1,"body":"it like a separate assessment?"},{"speaker":"Aaron Boysen","startTime":1144.74,"endTime":1148.1,"body":"Or you put a separate note in or"},{"speaker":"Aaron Boysen","startTime":1148.28,"endTime":1150.95,"body":"let's I'm just thinking like,"},{"speaker":"Aaron Boysen","startTime":1148.28,"endTime":1150.95,"body":"logistically, do you put it in?"},{"speaker":"Aaron Boysen","startTime":1151.94,"endTime":1153.17,"body":"Which section do you put it in?"},{"speaker":"Unknown","startTime":1155.84,"endTime":1159.89,"body":"Yes, so there's, we use"},{"speaker":"Unknown","startTime":1155.84,"endTime":1159.89,"body":"Electronic Arts. So we've got"},{"speaker":"Unknown","startTime":1159.95,"endTime":1163.46,"body":"system one for dietetics. I go"},{"speaker":"Unknown","startTime":1159.95,"endTime":1163.46,"body":"on to the speech therapy unit,"},{"speaker":"Unknown","startTime":1163.46,"endTime":1166.64,"body":"and I type my notes in there. So"},{"speaker":"Unknown","startTime":1163.46,"endTime":1166.64,"body":"I've got kind of a bit of a"},{"speaker":"Unknown","startTime":1166.64,"endTime":1170.12,"body":"profile that I use a bit like"},{"speaker":"Unknown","startTime":1166.64,"endTime":1170.12,"body":"we've got as a two way I've got"},{"speaker":"Unknown","startTime":1170.12,"endTime":1172.82,"body":"my own for dysphasia that I've"},{"speaker":"Unknown","startTime":1170.12,"endTime":1172.82,"body":"developed, obviously with the"},{"speaker":"Unknown","startTime":1172.82,"endTime":1175.31,"body":"speech therapy team, so I have"},{"speaker":"Unknown","startTime":1172.82,"endTime":1175.31,"body":"to document everything in there."},{"speaker":"Unknown","startTime":1175.31,"endTime":1177.83,"body":"So then what I would do in the"},{"speaker":"Unknown","startTime":1175.31,"endTime":1177.83,"body":"dietetic knows, is that right,"},{"speaker":"Unknown","startTime":1177.83,"endTime":1180.11,"body":"please see my speech therapy"},{"speaker":"Unknown","startTime":1177.83,"endTime":1180.11,"body":"notes for details, but"},{"speaker":"Unknown","startTime":1180.11,"endTime":1182.27,"body":"basically, these are the"},{"speaker":"Unknown","startTime":1180.11,"endTime":1182.27,"body":"recommendations. This is what"},{"speaker":"Unknown","startTime":1182.27,"endTime":1185.69,"body":"we're doing, because as"},{"speaker":"Unknown","startTime":1182.27,"endTime":1185.69,"body":"dietitians well at that time, I"},{"speaker":"Unknown","startTime":1185.69,"endTime":1187.76,"body":"just think well, I just need to"},{"speaker":"Unknown","startTime":1185.69,"endTime":1187.76,"body":"know what the can and can't"},{"speaker":"Unknown","startTime":1187.76,"endTime":1190.34,"body":"have. I don't really want to"},{"speaker":"Unknown","startTime":1187.76,"endTime":1190.34,"body":"know the ins and outs of what"},{"speaker":"Unknown","startTime":1190.34,"endTime":1192.32,"body":"kind of what happened when the"},{"speaker":"Unknown","startTime":1190.34,"endTime":1192.32,"body":"coughed and this kind of thing."},{"speaker":"Unknown","startTime":1192.32,"endTime":1196.28,"body":"So, yeah, it's just a brief kind"},{"speaker":"Unknown","startTime":1192.32,"endTime":1196.28,"body":"of note in the dietetic ones,"},{"speaker":"Aaron Boysen","startTime":1196.429,"endTime":1199.339,"body":"really, um, and I"},{"speaker":"Aaron Boysen","startTime":1196.429,"endTime":1199.339,"body":"want to bring you back to when"},{"speaker":"Aaron Boysen","startTime":1199.339,"endTime":1201.559,"body":"you mentioned about The critical"},{"speaker":"Aaron Boysen","startTime":1199.339,"endTime":1201.559,"body":"evaluation you had to do for"},{"speaker":"Aaron Boysen","startTime":1201.559,"endTime":1204.919,"body":"your masters and sort of"},{"speaker":"Aaron Boysen","startTime":1201.559,"endTime":1204.919,"body":"bringing sort of your dietetic"},{"speaker":"Aaron Boysen","startTime":1204.919,"endTime":1209.089,"body":"knowledge and your dysphasia"},{"speaker":"Aaron Boysen","startTime":1204.919,"endTime":1209.089,"body":"training together, was there"},{"speaker":"Aaron Boysen","startTime":1209.089,"endTime":1212.659,"body":"anything that you that sort of"},{"speaker":"Aaron Boysen","startTime":1209.089,"endTime":1212.659,"body":"as you were writing those"},{"speaker":"Aaron Boysen","startTime":1212.659,"endTime":1215.989,"body":"evaluations and thinking about"},{"speaker":"Aaron Boysen","startTime":1212.659,"endTime":1215.989,"body":"those things in regards to"},{"speaker":"Aaron Boysen","startTime":1215.989,"endTime":1219.199,"body":"patients, you careful with"},{"speaker":"Aaron Boysen","startTime":1215.989,"endTime":1219.199,"body":"anything that maybe questions"},{"speaker":"Aaron Boysen","startTime":1219.199,"endTime":1221.659,"body":"your thought process, you"},{"speaker":"Aaron Boysen","startTime":1219.199,"endTime":1221.659,"body":"thought more about a particular"},{"speaker":"Aaron Boysen","startTime":1221.659,"endTime":1227.569,"body":"area, or you thought that having"},{"speaker":"Aaron Boysen","startTime":1221.659,"endTime":1227.569,"body":"that swallow training helps you"},{"speaker":"Aaron Boysen","startTime":1227.569,"endTime":1229.609,"body":"understand something a lot more"},{"speaker":"Aaron Boysen","startTime":1227.569,"endTime":1229.609,"body":"when"},{"speaker":"Unknown","startTime":1229.61,"endTime":1233.33,"body":"I were when I was doing"},{"speaker":"Unknown","startTime":1229.61,"endTime":1233.33,"body":"it. So once I wrote it all kind"},{"speaker":"Unknown","startTime":1233.33,"endTime":1235.73,"body":"of made sense. I'm not saying"},{"speaker":"Unknown","startTime":1233.33,"endTime":1235.73,"body":"it's something I already know"},{"speaker":"Unknown","startTime":1235.73,"endTime":1237.68,"body":"already. But you know, when"},{"speaker":"Unknown","startTime":1235.73,"endTime":1237.68,"body":"you've kind of got a feeling so"},{"speaker":"Unknown","startTime":1237.68,"endTime":1240.2,"body":"when I wrote about the enteral,"},{"speaker":"Unknown","startTime":1237.68,"endTime":1240.2,"body":"feeding and dementia, we know"},{"speaker":"Unknown","startTime":1240.2,"endTime":1243.77,"body":"what that is quite well known,"},{"speaker":"Unknown","startTime":1240.2,"endTime":1243.77,"body":"we don't do people with advanced"},{"speaker":"Unknown","startTime":1243.77,"endTime":1247.79,"body":"dementia. So that kind of it set"},{"speaker":"Unknown","startTime":1243.77,"endTime":1247.79,"body":"that in stone. And it's nice to"},{"speaker":"Unknown","startTime":1247.79,"endTime":1250.34,"body":"actually look at the research."},{"speaker":"Unknown","startTime":1247.79,"endTime":1250.34,"body":"And because we knew I knew that"},{"speaker":"Unknown","startTime":1250.34,"endTime":1253.52,"body":"as a dietitian, but I'm actually"},{"speaker":"Unknown","startTime":1250.34,"endTime":1253.52,"body":"sat and looked at the research."},{"speaker":"Unknown","startTime":1253.94,"endTime":1257.63,"body":"So we're nice to kind of"},{"speaker":"Unknown","startTime":1253.94,"endTime":1257.63,"body":"consolidate and solidify that."},{"speaker":"Unknown","startTime":1257.87,"endTime":1259.82,"body":"And then obviously, there was"},{"speaker":"Unknown","startTime":1257.87,"endTime":1259.82,"body":"some work around thickened"},{"speaker":"Unknown","startTime":1259.82,"endTime":1263.99,"body":"fluids, and texture, modified"},{"speaker":"Unknown","startTime":1259.82,"endTime":1263.99,"body":"diet, so the thickened fluids,"},{"speaker":"Unknown","startTime":1264.2,"endTime":1266.96,"body":"and again, we know as"},{"speaker":"Unknown","startTime":1264.2,"endTime":1266.96,"body":"dietitians, it can reduce"},{"speaker":"Unknown","startTime":1266.96,"endTime":1269.9,"body":"people's quality of life, and"},{"speaker":"Unknown","startTime":1266.96,"endTime":1269.9,"body":"the compliance of it. And again,"},{"speaker":"Unknown","startTime":1269.9,"endTime":1273.08,"body":"this is what the research did"},{"speaker":"Unknown","startTime":1269.9,"endTime":1273.08,"body":"show. And the research did also"},{"speaker":"Unknown","startTime":1273.08,"endTime":1275.57,"body":"show that thickened fluids don't"},{"speaker":"Unknown","startTime":1273.08,"endTime":1275.57,"body":"always reduce the risk of"},{"speaker":"Unknown","startTime":1275.57,"endTime":1279.74,"body":"aspiration, because it can cause"},{"speaker":"Unknown","startTime":1275.57,"endTime":1279.74,"body":"residue in the pharynx, which if"},{"speaker":"Unknown","startTime":1279.74,"endTime":1283.67,"body":"people can't clear it, it sat"},{"speaker":"Unknown","startTime":1279.74,"endTime":1283.67,"body":"there, it's right on your airway"},{"speaker":"Unknown","startTime":1283.67,"endTime":1286.76,"body":"ready to be kind of aspirated or"},{"speaker":"Unknown","startTime":1283.67,"endTime":1286.76,"body":"penetrate. So there were lots of"},{"speaker":"Unknown","startTime":1286.76,"endTime":1289.73,"body":"things that I learned thinking,"},{"speaker":"Unknown","startTime":1286.76,"endTime":1289.73,"body":"Well, actually, this is quite"},{"speaker":"Unknown","startTime":1290.21,"endTime":1292.7,"body":"thought provoking. And you"},{"speaker":"Unknown","startTime":1290.21,"endTime":1292.7,"body":"really need to this is why you"},{"speaker":"Unknown","startTime":1292.7,"endTime":1294.98,"body":"need this holistic assessment,"},{"speaker":"Unknown","startTime":1292.7,"endTime":1294.98,"body":"if you are going to put some"},{"speaker":"Unknown","startTime":1294.98,"endTime":1298.76,"body":"traffic and fluids, are you sure"},{"speaker":"Unknown","startTime":1294.98,"endTime":1298.76,"body":"it's the right thing to do? Does"},{"speaker":"Unknown","startTime":1298.76,"endTime":1300.86,"body":"that make sense? Because"},{"speaker":"Unknown","startTime":1298.76,"endTime":1300.86,"body":"obviously, because of the risks"},{"speaker":"Unknown","startTime":1300.86,"endTime":1303.41,"body":"of it being kind of a lot"},{"speaker":"Unknown","startTime":1300.86,"endTime":1303.41,"body":"thicker, and obviously, with the"},{"speaker":"Unknown","startTime":1303.41,"endTime":1306.59,"body":"texture, modified diets,"},{"speaker":"Unknown","startTime":1303.41,"endTime":1306.59,"body":"people's quality of life can"},{"speaker":"Unknown","startTime":1306.62,"endTime":1308.72,"body":"reduce, and obviously there's"},{"speaker":"Unknown","startTime":1306.62,"endTime":1308.72,"body":"weight loss and things like"},{"speaker":"Unknown","startTime":1308.72,"endTime":1310.46,"body":"that. And this is where I'm"},{"speaker":"Unknown","startTime":1308.72,"endTime":1310.46,"body":"thinking, well, this is where we"},{"speaker":"Unknown","startTime":1310.46,"endTime":1313.58,"body":"fit in. Because if we've got"},{"speaker":"Unknown","startTime":1310.46,"endTime":1313.58,"body":"somebody on a texture, modified"},{"speaker":"Unknown","startTime":1313.58,"endTime":1316.22,"body":"diet, we need to really"},{"speaker":"Unknown","startTime":1313.58,"endTime":1316.22,"body":"intervene and kind of help them"},{"speaker":"Unknown","startTime":1316.22,"endTime":1319.25,"body":"because I don't know about you,"},{"speaker":"Unknown","startTime":1316.22,"endTime":1319.25,"body":"but it's very rare. You find"},{"speaker":"Unknown","startTime":1319.25,"endTime":1323.27,"body":"somebody on a level four diet"},{"speaker":"Unknown","startTime":1319.25,"endTime":1323.27,"body":"who's kind of in really grey,"},{"speaker":"Unknown","startTime":1323.3,"endTime":1326.87,"body":"and there have been lots of you"},{"speaker":"Unknown","startTime":1323.3,"endTime":1326.87,"body":"know, the maintaining the weight"},{"speaker":"Unknown","startTime":1326.87,"endTime":1329.21,"body":"and things like that, because it"},{"speaker":"Unknown","startTime":1326.87,"endTime":1329.21,"body":"does come with its difficulties"},{"speaker":"Unknown","startTime":1329.21,"endTime":1332.42,"body":"daunting, so and it might be the"},{"speaker":"Unknown","startTime":1329.21,"endTime":1332.42,"body":"safest for that person. And"},{"speaker":"Unknown","startTime":1332.42,"endTime":1335.87,"body":"again, is we speeding something"},{"speaker":"Unknown","startTime":1332.42,"endTime":1335.87,"body":"we need to consider? Because you"},{"speaker":"Unknown","startTime":1335.87,"endTime":1338.18,"body":"know, it really improves"},{"speaker":"Unknown","startTime":1335.87,"endTime":1338.18,"body":"somebody else's quality of life"},{"speaker":"Unknown","startTime":1338.18,"endTime":1339.56,"body":"when we can't put a measure on"},{"speaker":"Unknown","startTime":1338.18,"endTime":1339.56,"body":"that I"},{"speaker":"Aaron Boysen","startTime":1339.56,"endTime":1342.74,"body":"think and have the"},{"speaker":"Aaron Boysen","startTime":1339.56,"endTime":1342.74,"body":"speech in obviously you said"},{"speaker":"Aaron Boysen","startTime":1342.74,"endTime":1345.56,"body":"you're you're the go between"},{"speaker":"Aaron Boysen","startTime":1342.74,"endTime":1345.56,"body":"between some of the dietitians"},{"speaker":"Aaron Boysen","startTime":1345.56,"endTime":1347.6,"body":"and the speech language"},{"speaker":"Aaron Boysen","startTime":1345.56,"endTime":1347.6,"body":"therapists have the speech and"},{"speaker":"Aaron Boysen","startTime":1347.6,"endTime":1350.27,"body":"language therapists learn"},{"speaker":"Aaron Boysen","startTime":1347.6,"endTime":1350.27,"body":"anything sort of, obviously,"},{"speaker":"Aaron Boysen","startTime":1350.27,"endTime":1352.97,"body":"you've learned stuff from their"},{"speaker":"Aaron Boysen","startTime":1350.27,"endTime":1352.97,"body":"side of the side of the coin,"},{"speaker":"Aaron Boysen","startTime":1352.97,"endTime":1355.88,"body":"but is it ever gone the other"},{"speaker":"Aaron Boysen","startTime":1352.97,"endTime":1355.88,"body":"way to where they learn anything"},{"speaker":"Aaron Boysen","startTime":1355.88,"endTime":1359.6,"body":"from from you or how you maybe"},{"speaker":"Aaron Boysen","startTime":1355.88,"endTime":1359.6,"body":"view things with a little bit of"},{"speaker":"Aaron Boysen","startTime":1359.6,"endTime":1363.14,"body":"a years of dietetic experience"},{"speaker":"Aaron Boysen","startTime":1359.6,"endTime":1363.14,"body":"with a bit of a dietetic hat on"},{"speaker":"Aaron Boysen","startTime":1363.17,"endTime":1363.65,"body":"Yeah, so"},{"speaker":"Unknown","startTime":1363.65,"endTime":1366.62,"body":"this is something I"},{"speaker":"Unknown","startTime":1363.65,"endTime":1366.62,"body":"definitely want to work on. I"},{"speaker":"Unknown","startTime":1366.62,"endTime":1369.92,"body":"think because I've been taking"},{"speaker":"Unknown","startTime":1366.62,"endTime":1369.92,"body":"so long finding MFI, learning"},{"speaker":"Unknown","startTime":1369.92,"endTime":1372.92,"body":"their, their profession, after"},{"speaker":"Unknown","startTime":1369.92,"endTime":1372.92,"body":"their profession, this is"},{"speaker":"Unknown","startTime":1372.92,"endTime":1376.16,"body":"something I want to work on. So"},{"speaker":"Unknown","startTime":1372.92,"endTime":1376.16,"body":"I want to work on if the speech"},{"speaker":"Unknown","startTime":1376.16,"endTime":1379.19,"body":"Sherpa team feel that they need"},{"speaker":"Unknown","startTime":1376.16,"endTime":1379.19,"body":"to refer come to me first, let's"},{"speaker":"Unknown","startTime":1379.19,"endTime":1382.07,"body":"talk it through let's you know"},{"speaker":"Unknown","startTime":1379.19,"endTime":1382.07,"body":"just again, saving a lot of time"},{"speaker":"Unknown","startTime":1382.07,"endTime":1385.49,"body":"kind of documents in around"},{"speaker":"Unknown","startTime":1382.07,"endTime":1385.49,"body":"referrals, we are kind of across"},{"speaker":"Unknown","startTime":1385.49,"endTime":1388.52,"body":"all professionals wanting to"},{"speaker":"Unknown","startTime":1385.49,"endTime":1388.52,"body":"look at increasing how often"},{"speaker":"Unknown","startTime":1388.55,"endTime":1390.95,"body":"people would screen using the"},{"speaker":"Unknown","startTime":1388.55,"endTime":1390.95,"body":"mouse tool and put in action"},{"speaker":"Unknown","startTime":1390.95,"endTime":1393.38,"body":"plans in place. So that's not"},{"speaker":"Unknown","startTime":1390.95,"endTime":1393.38,"body":"something I've worked on. As"},{"speaker":"Unknown","startTime":1393.38,"endTime":1395.96,"body":"such, I think they've learned a"},{"speaker":"Unknown","startTime":1393.38,"endTime":1395.96,"body":"lot from me along the way"},{"speaker":"Unknown","startTime":1395.96,"endTime":1398.9,"body":"regarding feeding tubes and"},{"speaker":"Unknown","startTime":1395.96,"endTime":1398.9,"body":"weight and kind of decisions"},{"speaker":"Unknown","startTime":1398.9,"endTime":1403.01,"body":"around what we do for that"},{"speaker":"Unknown","startTime":1398.9,"endTime":1403.01,"body":"person. So for example, we had"},{"speaker":"Unknown","startTime":1403.1,"endTime":1406.07,"body":"patients who were on the waiting"},{"speaker":"Unknown","startTime":1403.1,"endTime":1406.07,"body":"list already have feeding tubes."},{"speaker":"Unknown","startTime":1406.07,"endTime":1408.77,"body":"So from a speech therapy"},{"speaker":"Unknown","startTime":1406.07,"endTime":1408.77,"body":"perspective, they're low"},{"speaker":"Unknown","startTime":1408.77,"endTime":1411.8,"body":"priority, because they've got an"},{"speaker":"Unknown","startTime":1408.77,"endTime":1411.8,"body":"alternative form of nutrition"},{"speaker":"Unknown","startTime":1411.8,"endTime":1414.65,"body":"and hydration. Well, I mean, the"},{"speaker":"Unknown","startTime":1411.8,"endTime":1414.65,"body":"waiting lists are quite long, as"},{"speaker":"Unknown","startTime":1414.65,"endTime":1416.84,"body":"I said, the referrals have"},{"speaker":"Unknown","startTime":1414.65,"endTime":1416.84,"body":"jumped to like 900 from the"},{"speaker":"Unknown","startTime":1416.84,"endTime":1419.24,"body":"hundreds. So they will be"},{"speaker":"Unknown","startTime":1416.84,"endTime":1419.24,"body":"waiting quite a long time on the"},{"speaker":"Unknown","startTime":1419.24,"endTime":1421.97,"body":"waiting list. And as I said,"},{"speaker":"Unknown","startTime":1419.24,"endTime":1421.97,"body":"they're a low priority. But I"},{"speaker":"Unknown","startTime":1421.97,"endTime":1425.78,"body":"said, but actually, if I've got"},{"speaker":"Unknown","startTime":1421.97,"endTime":1425.78,"body":"a 70 year old chap with a"},{"speaker":"Unknown","startTime":1425.78,"endTime":1429.83,"body":"feeding tube, it was in a care"},{"speaker":"Unknown","startTime":1425.78,"endTime":1429.83,"body":"home and it's on all trails, I"},{"speaker":"Unknown","startTime":1429.83,"endTime":1433.37,"body":"want to get that peg out as soon"},{"speaker":"Unknown","startTime":1429.83,"endTime":1433.37,"body":"as possible if I can. Because if"},{"speaker":"Unknown","startTime":1433.37,"endTime":1435.77,"body":"somebody is left with a peg in"},{"speaker":"Unknown","startTime":1433.37,"endTime":1435.77,"body":"place, and somebody had a"},{"speaker":"Unknown","startTime":1435.77,"endTime":1438.32,"body":"stroke, and they're obviously"},{"speaker":"Unknown","startTime":1435.77,"endTime":1438.32,"body":"more chance of developing"},{"speaker":"Unknown","startTime":1438.32,"endTime":1441.29,"body":"dementia, which then things get"},{"speaker":"Unknown","startTime":1438.32,"endTime":1441.29,"body":"really tricky with regards to"},{"speaker":"Unknown","startTime":1441.29,"endTime":1443.63,"body":"the feeding tube. So I said,"},{"speaker":"Unknown","startTime":1441.29,"endTime":1443.63,"body":"it's really important that when"},{"speaker":"Unknown","startTime":1443.63,"endTime":1446.12,"body":"that person comes out of"},{"speaker":"Unknown","startTime":1443.63,"endTime":1446.12,"body":"hospital, we get in there and do"},{"speaker":"Unknown","startTime":1446.12,"endTime":1449.24,"body":"that rehab with him to see if we"},{"speaker":"Unknown","startTime":1446.12,"endTime":1449.24,"body":"can eat to see if we can get"},{"speaker":"Unknown","startTime":1449.24,"endTime":1452.36,"body":"them back onto kind of any form"},{"speaker":"Unknown","startTime":1449.24,"endTime":1452.36,"body":"of normal diet and fluids to"},{"speaker":"Unknown","startTime":1452.36,"endTime":1455.15,"body":"maybe get the feeding tube out"},{"speaker":"Unknown","startTime":1452.36,"endTime":1455.15,"body":"because of the complications"},{"speaker":"Unknown","startTime":1455.15,"endTime":1457.91,"body":"that can cause eventually so"},{"speaker":"Unknown","startTime":1455.15,"endTime":1457.91,"body":"they will also it's actually"},{"speaker":"Unknown","startTime":1457.91,"endTime":1460.85,"body":"quite high priority for you into"},{"speaker":"Unknown","startTime":1457.91,"endTime":1460.85,"body":"and I said yeah, I know they've"},{"speaker":"Unknown","startTime":1460.85,"endTime":1463.01,"body":"got an alternative family"},{"speaker":"Unknown","startTime":1460.85,"endTime":1463.01,"body":"nutrition hydration. But"},{"speaker":"Unknown","startTime":1463.01,"endTime":1466.64,"body":"actually, that doesn't mean that"},{"speaker":"Unknown","startTime":1463.01,"endTime":1466.64,"body":"we can just leave it, we need we"},{"speaker":"Unknown","startTime":1466.64,"endTime":1469.52,"body":"still need to do something with"},{"speaker":"Unknown","startTime":1466.64,"endTime":1469.52,"body":"it if we can. So I think that"},{"speaker":"Unknown","startTime":1469.52,"endTime":1471.62,"body":"that will kind of a learning"},{"speaker":"Unknown","startTime":1469.52,"endTime":1471.62,"body":"point for them, which is why"},{"speaker":"Unknown","startTime":1471.62,"endTime":1475.58,"body":"they said it will be good if I"},{"speaker":"Unknown","startTime":1471.62,"endTime":1475.58,"body":"did take on all those patients"},{"speaker":"Unknown","startTime":1475.58,"endTime":1478.28,"body":"with a feeding tube. So they've"},{"speaker":"Unknown","startTime":1475.58,"endTime":1478.28,"body":"got that kind of it will quite"},{"speaker":"Unknown","startTime":1478.28,"endTime":1479.81,"body":"quick that they've got that"},{"speaker":"Unknown","startTime":1478.28,"endTime":1479.81,"body":"intervention."},{"speaker":"Aaron Boysen","startTime":1479.87,"endTime":1482.93,"body":"So as low priority"},{"speaker":"Aaron Boysen","startTime":1479.87,"endTime":1482.93,"body":"patients for them because of the"},{"speaker":"Aaron Boysen","startTime":1482.96,"endTime":1487.04,"body":"alternative form of nutrition"},{"speaker":"Aaron Boysen","startTime":1482.96,"endTime":1487.04,"body":"are actually still getting seen"},{"speaker":"Aaron Boysen","startTime":1487.16,"endTime":1490.28,"body":"by a dietitian with extra"},{"speaker":"Aaron Boysen","startTime":1487.16,"endTime":1490.28,"body":"dysphasia training and"},{"speaker":"Aaron Boysen","startTime":1490.28,"endTime":1493.19,"body":"hopefully, who doesn't want to"},{"speaker":"Aaron Boysen","startTime":1490.28,"endTime":1493.19,"body":"eat quicker. You know, I mean"},{"speaker":"Aaron Boysen","startTime":1493.19,"endTime":1496.28,"body":"eating is quite an enjoyable"},{"speaker":"Aaron Boysen","startTime":1493.19,"endTime":1496.28,"body":"part of life just from just from"},{"speaker":"Aaron Boysen","startTime":1496.28,"endTime":1499.82,"body":"a sort of patient experience"},{"speaker":"Aaron Boysen","startTime":1496.28,"endTime":1499.82,"body":"perspective and I I always think"},{"speaker":"Aaron Boysen","startTime":1499.88,"endTime":1502.4,"body":"you meetings are a fundamental"},{"speaker":"Aaron Boysen","startTime":1499.88,"endTime":1502.4,"body":"part of our life. It's quite"},{"speaker":"Aaron Boysen","startTime":1502.4,"endTime":1505.55,"body":"social, it's quite, it's just"},{"speaker":"Aaron Boysen","startTime":1502.4,"endTime":1505.55,"body":"important in life. And as"},{"speaker":"Aaron Boysen","startTime":1505.55,"endTime":1508.49,"body":"dietitians, we, we obviously"},{"speaker":"Aaron Boysen","startTime":1505.55,"endTime":1508.49,"body":"talk about the importance,"},{"speaker":"Aaron Boysen","startTime":1509.03,"endTime":1513.17,"body":"probably a little bit too much."},{"speaker":"Aaron Boysen","startTime":1509.03,"endTime":1513.17,"body":"But I think I do think for"},{"speaker":"Aaron Boysen","startTime":1513.17,"endTime":1515.66,"body":"patients, it means quite a lot."},{"speaker":"Aaron Boysen","startTime":1513.17,"endTime":1515.66,"body":"And if we can, if we can"},{"speaker":"Aaron Boysen","startTime":1515.66,"endTime":1517.58,"body":"progress them slightly faster,"},{"speaker":"Aaron Boysen","startTime":1515.66,"endTime":1517.58,"body":"it definitely improves that"},{"speaker":"Aaron Boysen","startTime":1517.58,"endTime":1521.18,"body":"patient experience definitely."},{"speaker":"Aaron Boysen","startTime":1517.58,"endTime":1521.18,"body":"Because it's really, it's so"},{"speaker":"Aaron Boysen","startTime":1521.18,"endTime":1524.9,"body":"nice to hear that the learning"},{"speaker":"Aaron Boysen","startTime":1521.18,"endTime":1524.9,"body":"is as as sort of gone both ways."},{"speaker":"Aaron Boysen","startTime":1524.9,"endTime":1527.57,"body":"And you've learned things from"},{"speaker":"Aaron Boysen","startTime":1524.9,"endTime":1527.57,"body":"Speech Language therapists, also"},{"speaker":"Aaron Boysen","startTime":1527.57,"endTime":1529.82,"body":"the course you've been on and"},{"speaker":"Aaron Boysen","startTime":1527.57,"endTime":1529.82,"body":"having to critically evaluate"},{"speaker":"Aaron Boysen","startTime":1529.82,"endTime":1533.54,"body":"practices, learning, learning"},{"speaker":"Aaron Boysen","startTime":1529.82,"endTime":1533.54,"body":"the backstory behind why the"},{"speaker":"Aaron Boysen","startTime":1533.54,"endTime":1536.87,"body":"nice guidance say that feeding"},{"speaker":"Aaron Boysen","startTime":1533.54,"endTime":1536.87,"body":"in advanced dementia is not"},{"speaker":"Aaron Boysen","startTime":1536.87,"endTime":1541.34,"body":"appropriate. And things like"},{"speaker":"Aaron Boysen","startTime":1536.87,"endTime":1541.34,"body":"that helps to sort of improve"},{"speaker":"Aaron Boysen","startTime":1541.37,"endTime":1544.88,"body":"your improve yourself as a"},{"speaker":"Aaron Boysen","startTime":1541.37,"endTime":1544.88,"body":"dietitian, I think understanding"},{"speaker":"Aaron Boysen","startTime":1544.88,"endTime":1548.18,"body":"a little bit of that backstory."},{"speaker":"Aaron Boysen","startTime":1544.88,"endTime":1548.18,"body":"So when we're thinking about"},{"speaker":"Aaron Boysen","startTime":1548.93,"endTime":1551.9,"body":"your experience in this role,"},{"speaker":"Aaron Boysen","startTime":1548.93,"endTime":1551.9,"body":"where you've talked a little bit"},{"speaker":"Aaron Boysen","startTime":1551.9,"endTime":1556.61,"body":"about areas where it's excelled"},{"speaker":"Aaron Boysen","startTime":1551.9,"endTime":1556.61,"body":"for you, but as you've developed"},{"speaker":"Aaron Boysen","startTime":1556.61,"endTime":1559.16,"body":"the practice, have you thought"},{"speaker":"Aaron Boysen","startTime":1556.61,"endTime":1559.16,"body":"about any of the areas of"},{"speaker":"Aaron Boysen","startTime":1559.16,"endTime":1561.71,"body":"dietetics, maybe you had"},{"speaker":"Aaron Boysen","startTime":1559.16,"endTime":1561.71,"body":"experience with it on placement,"},{"speaker":"Aaron Boysen","startTime":1561.71,"endTime":1564.17,"body":"or heard about it from other"},{"speaker":"Aaron Boysen","startTime":1561.71,"endTime":1564.17,"body":"people where you think that"},{"speaker":"Aaron Boysen","startTime":1564.35,"endTime":1569.12,"body":"having jewel competencies would"},{"speaker":"Aaron Boysen","startTime":1564.35,"endTime":1569.12,"body":"be really, really helpful, and"},{"speaker":"Aaron Boysen","startTime":1569.12,"endTime":1571.19,"body":"how you think it would work and"},{"speaker":"Aaron Boysen","startTime":1569.12,"endTime":1571.19,"body":"say, obviously, yours is"},{"speaker":"Aaron Boysen","startTime":1571.19,"endTime":1574.01,"body":"community based, but there might"},{"speaker":"Aaron Boysen","startTime":1571.19,"endTime":1574.01,"body":"be sort of acute dieticians"},{"speaker":"Aaron Boysen","startTime":1574.01,"endTime":1578.0,"body":"listening to this or dieticians"},{"speaker":"Aaron Boysen","startTime":1574.01,"endTime":1578.0,"body":"in different areas, how do you"},{"speaker":"Aaron Boysen","startTime":1578.0,"endTime":1578.96,"body":"think it would work for them,"},{"speaker":"Unknown","startTime":1579.23,"endTime":1582.98,"body":"the first thing to do"},{"speaker":"Unknown","startTime":1579.23,"endTime":1582.98,"body":"would be to obviously speak with"},{"speaker":"Unknown","startTime":1582.98,"endTime":1585.47,"body":"the speech therapy team, when"},{"speaker":"Unknown","startTime":1582.98,"endTime":1585.47,"body":"you service leads to figure out"},{"speaker":"Unknown","startTime":1585.47,"endTime":1588.95,"body":"if there is a gap, or if there"},{"speaker":"Unknown","startTime":1585.47,"endTime":1588.95,"body":"would be a benefit to the"},{"speaker":"Unknown","startTime":1588.95,"endTime":1592.01,"body":"service spa patients around"},{"speaker":"Unknown","startTime":1588.95,"endTime":1592.01,"body":"obviously being dysphasia trade,"},{"speaker":"Unknown","startTime":1592.07,"endTime":1595.7,"body":"obviously the neuro rehab where"},{"speaker":"Unknown","startTime":1592.07,"endTime":1595.7,"body":"I work at the moment, again, it"},{"speaker":"Unknown","startTime":1595.7,"endTime":1599.87,"body":"fits in really well, their whole"},{"speaker":"Unknown","startTime":1595.7,"endTime":1599.87,"body":"mental feed in as well. I think"},{"speaker":"Unknown","startTime":1599.87,"endTime":1602.84,"body":"that's definitely got a place"},{"speaker":"Unknown","startTime":1599.87,"endTime":1602.84,"body":"for it. But again, with"},{"speaker":"Unknown","startTime":1602.84,"endTime":1607.94,"body":"dysphasia, the clinical, it's a"},{"speaker":"Unknown","startTime":1602.84,"endTime":1607.94,"body":"bit like when we look at"},{"speaker":"Unknown","startTime":1607.94,"endTime":1610.94,"body":"diabetes, for example, we have"},{"speaker":"Unknown","startTime":1607.94,"endTime":1610.94,"body":"kind of an idea of a careful"},{"speaker":"Unknown","startTime":1610.94,"endTime":1613.07,"body":"interventions that we're going"},{"speaker":"Unknown","startTime":1610.94,"endTime":1613.07,"body":"to do. And it's the same with"},{"speaker":"Unknown","startTime":1613.07,"endTime":1616.43,"body":"swallowing. 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So with"},{"speaker":"Unknown","startTime":1627.47,"endTime":1629.78,"body":"enteral feeding, because you"},{"speaker":"Unknown","startTime":1629.78,"endTime":1632.27,"body":"might see a variety of"},{"speaker":"Unknown","startTime":1629.78,"endTime":1632.27,"body":"conditions, is making sure that"},{"speaker":"Unknown","startTime":1632.27,"endTime":1634.58,"body":"you feel competent in all of"},{"speaker":"Unknown","startTime":1632.27,"endTime":1634.58,"body":"those areas and all of those"},{"speaker":"Unknown","startTime":1634.58,"endTime":1638.6,"body":"conditions. So there is that as"},{"speaker":"Unknown","startTime":1634.58,"endTime":1638.6,"body":"an area that will be quite good."},{"speaker":"Unknown","startTime":1639.38,"endTime":1642.41,"body":"I know one of my colleagues"},{"speaker":"Unknown","startTime":1639.38,"endTime":1642.41,"body":"who's also dysphasia tray, and"},{"speaker":"Unknown","startTime":1642.41,"endTime":1645.74,"body":"she works in learning"},{"speaker":"Unknown","startTime":1642.41,"endTime":1645.74,"body":"disabilities. So I think it's"},{"speaker":"Unknown","startTime":1645.74,"endTime":1649.43,"body":"more service specific. And is"},{"speaker":"Unknown","startTime":1645.74,"endTime":1649.43,"body":"there a need for it there, it"},{"speaker":"Unknown","startTime":1649.43,"endTime":1653.06,"body":"could technically work in any"},{"speaker":"Unknown","startTime":1649.43,"endTime":1653.06,"body":"condition, I guess. But he's"},{"speaker":"Unknown","startTime":1653.06,"endTime":1656.45,"body":"just trying to, to make sure"},{"speaker":"Unknown","startTime":1653.06,"endTime":1656.45,"body":"that it benefits patient and any"},{"speaker":"Unknown","startTime":1656.45,"endTime":1658.43,"body":"benefits of service as well. But"},{"speaker":"Unknown","startTime":1656.45,"endTime":1658.43,"body":"yeah, they're just some of the"},{"speaker":"Unknown","startTime":1658.43,"endTime":1661.37,"body":"areas I think, might be quite"},{"speaker":"Unknown","startTime":1658.43,"endTime":1661.37,"body":"nice. It might quite work quite"},{"speaker":"Unknown","startTime":1661.37,"endTime":1661.7,"body":"well, for"},{"speaker":"Aaron Boysen","startTime":1661.7,"endTime":1665.36,"body":"me. And in"},{"speaker":"Aaron Boysen","startTime":1661.7,"endTime":1665.36,"body":"particular with yourself. what's"},{"speaker":"Aaron Boysen","startTime":1665.36,"endTime":1669.38,"body":"the what's the future of your,"},{"speaker":"Aaron Boysen","startTime":1665.36,"endTime":1669.38,"body":"your role? How do you how do you"},{"speaker":"Aaron Boysen","startTime":1669.38,"endTime":1672.38,"body":"see it advancing into the"},{"speaker":"Aaron Boysen","startTime":1669.38,"endTime":1672.38,"body":"future? And or, obviously,"},{"speaker":"Aaron Boysen","startTime":1672.38,"endTime":1675.41,"body":"you've talked about expanding to"},{"speaker":"Aaron Boysen","startTime":1672.38,"endTime":1675.41,"body":"different areas. But is there"},{"speaker":"Aaron Boysen","startTime":1675.41,"endTime":1678.44,"body":"any sort of extra work around"},{"speaker":"Aaron Boysen","startTime":1675.41,"endTime":1678.44,"body":"sort of dysphasia trained"},{"speaker":"Aaron Boysen","startTime":1678.44,"endTime":1681.14,"body":"dieticians that you would you'd"},{"speaker":"Aaron Boysen","startTime":1678.44,"endTime":1681.14,"body":"love to see in the future? It"},{"speaker":"Aaron Boysen","startTime":1681.14,"endTime":1682.82,"body":"could be something you're"},{"speaker":"Aaron Boysen","startTime":1681.14,"endTime":1682.82,"body":"working on at the moment or"},{"speaker":"Aaron Boysen","startTime":1682.82,"endTime":1685.82,"body":"something you see as a"},{"speaker":"Aaron Boysen","startTime":1682.82,"endTime":1685.82,"body":"possibility?"},{"speaker":"Unknown","startTime":1685.85,"endTime":1689.66,"body":"Yeah, I think because"},{"speaker":"Unknown","startTime":1685.85,"endTime":1689.66,"body":"it's quite a new role. And as I"},{"speaker":"Unknown","startTime":1689.66,"endTime":1691.91,"body":"said, I've got a colleague, but"},{"speaker":"Unknown","startTime":1689.66,"endTime":1691.91,"body":"she works in learning"},{"speaker":"Unknown","startTime":1691.91,"endTime":1695.3,"body":"disability. So again, very"},{"speaker":"Unknown","startTime":1691.91,"endTime":1695.3,"body":"different from like a swallowing"},{"speaker":"Unknown","startTime":1695.36,"endTime":1699.41,"body":"perspective. And I'm not I'm"},{"speaker":"Unknown","startTime":1695.36,"endTime":1699.41,"body":"really not sure what because I"},{"speaker":"Unknown","startTime":1699.41,"endTime":1701.3,"body":"feel like we've not really"},{"speaker":"Unknown","startTime":1699.41,"endTime":1701.3,"body":"because we've not done it"},{"speaker":"Unknown","startTime":1701.3,"endTime":1703.88,"body":"before. We don't know what the"},{"speaker":"Unknown","startTime":1701.3,"endTime":1703.88,"body":"future holds. And I am just"},{"speaker":"Unknown","startTime":1703.88,"endTime":1706.67,"body":"enjoying seeing patients and"},{"speaker":"Unknown","startTime":1703.88,"endTime":1706.67,"body":"enjoying kind of learning and"},{"speaker":"Unknown","startTime":1706.67,"endTime":1709.76,"body":"progressing and trying to see"},{"speaker":"Unknown","startTime":1706.67,"endTime":1709.76,"body":"what kind of differences we can"},{"speaker":"Unknown","startTime":1709.76,"endTime":1712.88,"body":"make. But no, it's really hard"},{"speaker":"Unknown","startTime":1709.76,"endTime":1712.88,"body":"to say because I just don't"},{"speaker":"Unknown","startTime":1712.88,"endTime":1716.51,"body":"know, it's difficult because you"},{"speaker":"Unknown","startTime":1712.88,"endTime":1716.51,"body":"don't know what you don't know,"},{"speaker":"Unknown","startTime":1716.54,"endTime":1718.76,"body":"do you really so we'll have to"},{"speaker":"Unknown","startTime":1716.54,"endTime":1718.76,"body":"see how it goes. And obviously,"},{"speaker":"Unknown","startTime":1718.97,"endTime":1721.19,"body":"in Doncaster, we've done a lot"},{"speaker":"Unknown","startTime":1718.97,"endTime":1721.19,"body":"of projects. We've done a lot of"},{"speaker":"Unknown","startTime":1721.19,"endTime":1723.98,"body":"innovative work in other areas"},{"speaker":"Unknown","startTime":1721.19,"endTime":1723.98,"body":"of dietetics. So I'm open with"},{"speaker":"Unknown","startTime":1723.98,"endTime":1728.9,"body":"and kind of continue that in"},{"speaker":"Unknown","startTime":1723.98,"endTime":1728.9,"body":"this area as well. So yeah, I'm"},{"speaker":"Unknown","startTime":1728.9,"endTime":1731.36,"body":"just hoping to increase my"},{"speaker":"Unknown","startTime":1728.9,"endTime":1731.36,"body":"increase my knowledge and my"},{"speaker":"Unknown","startTime":1731.36,"endTime":1734.0,"body":"skills in the conditions and"},{"speaker":"Unknown","startTime":1731.36,"endTime":1734.0,"body":"more to see where it takes us."},{"speaker":"Unknown","startTime":1734.0,"endTime":1737.27,"body":"But yeah, unfortunately, there's"},{"speaker":"Unknown","startTime":1734.0,"endTime":1737.27,"body":"no things like KPIs or anything"},{"speaker":"Unknown","startTime":1737.27,"endTime":1740.33,"body":"like that to go off really well"},{"speaker":"Unknown","startTime":1737.27,"endTime":1740.33,"body":"kind of adjust a bit. One thing"},{"speaker":"Unknown","startTime":1740.33,"endTime":1745.58,"body":"I did want to do is kind of set"},{"speaker":"Unknown","startTime":1740.33,"endTime":1745.58,"body":"up maybe like a dieticians do"},{"speaker":"Unknown","startTime":1745.58,"endTime":1747.92,"body":"dysphasia whether it's like a"},{"speaker":"Unknown","startTime":1745.58,"endTime":1747.92,"body":"Facebook group people are"},{"speaker":"Unknown","startTime":1747.92,"endTime":1751.4,"body":"interested or I don't know,"},{"speaker":"Unknown","startTime":1747.92,"endTime":1751.4,"body":"obviously, because I feel like"},{"speaker":"Unknown","startTime":1751.4,"endTime":1753.77,"body":"I'm the only one if there is any"},{"speaker":"Unknown","startTime":1751.4,"endTime":1753.77,"body":"out there please obviously if"},{"speaker":"Unknown","startTime":1753.77,"endTime":1755.72,"body":"you're listening to this"},{"speaker":"Unknown","startTime":1753.77,"endTime":1755.72,"body":"podcast, please get in touch if"},{"speaker":"Unknown","startTime":1755.72,"endTime":1758.78,"body":"I'm not aware of somebody"},{"speaker":"Unknown","startTime":1755.72,"endTime":1758.78,"body":"else's, and I know I've got one"},{"speaker":"Unknown","startTime":1758.78,"endTime":1762.41,"body":"colleague and we I'd like to you"},{"speaker":"Unknown","startTime":1758.78,"endTime":1762.41,"body":"know, it'd be really good if"},{"speaker":"Unknown","startTime":1762.41,"endTime":1766.34,"body":"it's something that we can do."},{"speaker":"Unknown","startTime":1762.41,"endTime":1766.34,"body":"And just branch in the two"},{"speaker":"Unknown","startTime":1766.34,"endTime":1769.31,"body":"professions together, because we"},{"speaker":"Unknown","startTime":1766.34,"endTime":1769.31,"body":"do work very closely together"},{"speaker":"Unknown","startTime":1769.31,"endTime":1772.16,"body":"anyway. So it'd be great if we"},{"speaker":"Unknown","startTime":1769.31,"endTime":1772.16,"body":"could if we could continue that."},{"speaker":"Unknown","startTime":1773.3,"endTime":1776.09,"body":"Because they said we do we do a"},{"speaker":"Unknown","startTime":1773.3,"endTime":1776.09,"body":"bit like OT and physio kind of"},{"speaker":"Unknown","startTime":1776.09,"endTime":1778.25,"body":"goes together a little bit."},{"speaker":"Unknown","startTime":1776.09,"endTime":1778.25,"body":"You've got speech therapy and"},{"speaker":"Unknown","startTime":1778.25,"endTime":1781.13,"body":"Dietetics. So it'd be nice just"},{"speaker":"Unknown","startTime":1778.25,"endTime":1781.13,"body":"to continue that kind of"},{"speaker":"Unknown","startTime":1781.16,"endTime":1782.36,"body":"interprofessional working."},{"speaker":"Aaron Boysen","startTime":1782.51,"endTime":1784.49,"body":"Yeah. What about"},{"speaker":"Aaron Boysen","startTime":1782.51,"endTime":1784.49,"body":"the speech language, maybe"},{"speaker":"Aaron Boysen","startTime":1784.49,"endTime":1788.0,"body":"taking over some of the sort of"},{"speaker":"Aaron Boysen","startTime":1784.49,"endTime":1788.0,"body":"care for sort of nutrition"},{"speaker":"Aaron Boysen","startTime":1788.0,"endTime":1790.52,"body":"support and speeding have that"},{"speaker":"Aaron Boysen","startTime":1788.0,"endTime":1790.52,"body":"character any talk about that"},{"speaker":"Aaron Boysen","startTime":1790.52,"endTime":1793.67,"body":"within your, within your team or"},{"speaker":"Aaron Boysen","startTime":1790.52,"endTime":1793.67,"body":"within your service. This is"},{"speaker":"Unknown","startTime":1793.67,"endTime":1797.6,"body":"something I do want to"},{"speaker":"Unknown","startTime":1793.67,"endTime":1797.6,"body":"work on. So obviously, what we"},{"speaker":"Unknown","startTime":1797.6,"endTime":1800.33,"body":"could be asking them to do is"},{"speaker":"Unknown","startTime":1797.6,"endTime":1800.33,"body":"kind of scream from"},{"speaker":"Unknown","startTime":1800.33,"endTime":1802.73,"body":"malnutrition, so obviously given"},{"speaker":"Unknown","startTime":1800.33,"endTime":1802.73,"body":"our mascar and putting a"},{"speaker":"Unknown","startTime":1802.73,"endTime":1805.49,"body":"nutrition action plan in place,"},{"speaker":"Unknown","startTime":1802.73,"endTime":1805.49,"body":"and then if that's not working,"},{"speaker":"Unknown","startTime":1805.49,"endTime":1807.35,"body":"for example, if they're still"},{"speaker":"Unknown","startTime":1805.49,"endTime":1807.35,"body":"losing weight or they're still"},{"speaker":"Unknown","startTime":1807.35,"endTime":1809.93,"body":"having difficulties, then"},{"speaker":"Unknown","startTime":1807.35,"endTime":1809.93,"body":"obviously they can refer. So"},{"speaker":"Unknown","startTime":1809.93,"endTime":1812.0,"body":"we're doing that little bit of"},{"speaker":"Unknown","startTime":1809.93,"endTime":1812.0,"body":"first line advice, which our"},{"speaker":"Unknown","startTime":1812.03,"endTime":1813.53,"body":"district nurses also do."},{"speaker":"Aaron Boysen","startTime":1814.46,"endTime":1817.25,"body":"Anyone on a"},{"speaker":"Aaron Boysen","startTime":1814.46,"endTime":1817.25,"body":"texture modified diet is at high"},{"speaker":"Aaron Boysen","startTime":1817.25,"endTime":1821.42,"body":"risk of higher risk of"},{"speaker":"Aaron Boysen","startTime":1817.25,"endTime":1821.42,"body":"malnutrition. So, why why should"},{"speaker":"Aaron Boysen","startTime":1821.42,"endTime":1824.21,"body":"we not screen those patients"},{"speaker":"Aaron Boysen","startTime":1821.42,"endTime":1824.21,"body":"more regularly to catch"},{"speaker":"Aaron Boysen","startTime":1824.21,"endTime":1827.06,"body":"malnutrition? Say it's more"},{"speaker":"Aaron Boysen","startTime":1824.21,"endTime":1827.06,"body":"easily resolved quicker, I think"},{"speaker":"Aaron Boysen","startTime":1827.06,"endTime":1830.66,"body":"that's a really good, useful way"},{"speaker":"Aaron Boysen","startTime":1827.06,"endTime":1830.66,"body":"for them to do it, and to put in"},{"speaker":"Aaron Boysen","startTime":1830.66,"endTime":1835.4,"body":"a action plan in place to"},{"speaker":"Aaron Boysen","startTime":1830.66,"endTime":1835.4,"body":"actually almost Yeah, see if"},{"speaker":"Aaron Boysen","startTime":1835.4,"endTime":1839.93,"body":"that works and treat that"},{"speaker":"Aaron Boysen","startTime":1835.4,"endTime":1839.93,"body":"malnutrition. And think that"},{"speaker":"Aaron Boysen","startTime":1839.93,"endTime":1840.98,"body":"would be really helpful. Yeah,"},{"speaker":"Unknown","startTime":1840.98,"endTime":1844.28,"body":"we've also I came"},{"speaker":"Unknown","startTime":1840.98,"endTime":1844.28,"body":"across, when we're doing"},{"speaker":"Unknown","startTime":1844.49,"endTime":1848.57,"body":"assessments there would be, so"},{"speaker":"Unknown","startTime":1844.49,"endTime":1848.57,"body":"it's at that level faster, we'd"},{"speaker":"Unknown","startTime":1848.57,"endTime":1850.91,"body":"have the diet sheets that will"},{"speaker":"Unknown","startTime":1848.57,"endTime":1850.91,"body":"level father speech therapy"},{"speaker":"Unknown","startTime":1850.91,"endTime":1854.81,"body":"developed, and I walked him with"},{"speaker":"Unknown","startTime":1850.91,"endTime":1854.81,"body":"no offence to my colleagues,"},{"speaker":"Unknown","startTime":1855.23,"endTime":1857.72,"body":"there were things on there. And"},{"speaker":"Unknown","startTime":1855.23,"endTime":1857.72,"body":"I think one of the exams that"},{"speaker":"Unknown","startTime":1857.72,"endTime":1863.78,"body":"stuck out the most to me was"},{"speaker":"Unknown","startTime":1857.72,"endTime":1863.78,"body":"meal options, quiche. And I were"},{"speaker":"Unknown","startTime":1863.78,"endTime":1867.02,"body":"like, no, that's really not,"},{"speaker":"Unknown","startTime":1863.78,"endTime":1867.02,"body":"that's really not a meal option,"},{"speaker":"Unknown","startTime":1867.05,"endTime":1870.38,"body":"or like we need to end the"},{"speaker":"Unknown","startTime":1867.05,"endTime":1870.38,"body":"suggestions on there is"},{"speaker":"Unknown","startTime":1870.38,"endTime":1872.93,"body":"obviously we'll try it with the"},{"speaker":"Unknown","startTime":1870.38,"endTime":1872.93,"body":"random miss things, things like"},{"speaker":"Unknown","startTime":1872.93,"endTime":1876.2,"body":"avocado or this occasion, I like"},{"speaker":"Unknown","startTime":1872.93,"endTime":1876.2,"body":"that we need to make some diet"},{"speaker":"Unknown","startTime":1876.2,"endTime":1879.35,"body":"sheets that if somebody is put"},{"speaker":"Unknown","startTime":1876.2,"endTime":1879.35,"body":"onto a level five diet, they"},{"speaker":"Unknown","startTime":1879.35,"endTime":1882.23,"body":"know how to have a balanced"},{"speaker":"Unknown","startTime":1879.35,"endTime":1882.23,"body":"diet, they know how to enrich if"},{"speaker":"Unknown","startTime":1882.23,"endTime":1885.68,"body":"they need to enrich it. So what"},{"speaker":"Unknown","startTime":1882.23,"endTime":1885.68,"body":"I've done recently is I've"},{"speaker":"Unknown","startTime":1885.68,"endTime":1889.49,"body":"worked with the leader and we've"},{"speaker":"Unknown","startTime":1885.68,"endTime":1889.49,"body":"developed some leaflets in line"},{"speaker":"Unknown","startTime":1889.49,"endTime":1892.82,"body":"with it, too. So we've got one"},{"speaker":"Unknown","startTime":1889.49,"endTime":1892.82,"body":"for level four, right up to"},{"speaker":"Unknown","startTime":1892.82,"endTime":1897.38,"body":"level seven easy to, and it's"},{"speaker":"Unknown","startTime":1892.82,"endTime":1897.38,"body":"really robust around with easy"},{"speaker":"Unknown","startTime":1897.38,"endTime":1900.14,"body":"carbohydrates, these a protein,"},{"speaker":"Unknown","startTime":1897.38,"endTime":1900.14,"body":"so it is more it's not a healthy"},{"speaker":"Unknown","startTime":1900.14,"endTime":1903.02,"body":"eating leaflet, it's more"},{"speaker":"Unknown","startTime":1900.14,"endTime":1903.02,"body":"around, you still need to have"},{"speaker":"Unknown","startTime":1903.05,"endTime":1906.71,"body":"these food groups, even if you"},{"speaker":"Unknown","startTime":1903.05,"endTime":1906.71,"body":"are on a level four date. So"},{"speaker":"Unknown","startTime":1906.71,"endTime":1909.08,"body":"don't just live off things like"},{"speaker":"Unknown","startTime":1906.71,"endTime":1909.08,"body":"yoghurts and things like that."},{"speaker":"Unknown","startTime":1909.17,"endTime":1912.11,"body":"So I have developed those"},{"speaker":"Unknown","startTime":1909.17,"endTime":1912.11,"body":"leaflets, which I think I think"},{"speaker":"Unknown","startTime":1912.11,"endTime":1914.39,"body":"will be really helpful. And that"},{"speaker":"Unknown","startTime":1912.11,"endTime":1914.39,"body":"might again, that might help"},{"speaker":"Unknown","startTime":1914.39,"endTime":1916.97,"body":"with that first line"},{"speaker":"Unknown","startTime":1914.39,"endTime":1916.97,"body":"information. So if somebody has"},{"speaker":"Unknown","startTime":1916.97,"endTime":1919.76,"body":"changed on to level five diet,"},{"speaker":"Unknown","startTime":1916.97,"endTime":1919.76,"body":"they still know what the can"},{"speaker":"Unknown","startTime":1919.76,"endTime":1923.42,"body":"eat, because a lot of patients"},{"speaker":"Unknown","startTime":1919.76,"endTime":1923.42,"body":"will come to us and say it's"},{"speaker":"Unknown","startTime":1923.42,"endTime":1926.36,"body":"dietitians and say, Well, I'm on"},{"speaker":"Unknown","startTime":1923.42,"endTime":1926.36,"body":"level four diet, what can I eat."},{"speaker":"Unknown","startTime":1926.87,"endTime":1928.91,"body":"And as we know, while we're on"},{"speaker":"Unknown","startTime":1926.87,"endTime":1928.91,"body":"the phone, or while we're"},{"speaker":"Unknown","startTime":1928.91,"endTime":1931.25,"body":"talking to him, we can't think"},{"speaker":"Unknown","startTime":1928.91,"endTime":1931.25,"body":"of things up top of his head. So"},{"speaker":"Unknown","startTime":1931.25,"endTime":1933.71,"body":"it's really good now that we've"},{"speaker":"Unknown","startTime":1931.25,"endTime":1933.71,"body":"got these leaflets that we can"},{"speaker":"Unknown","startTime":1933.71,"endTime":1937.16,"body":"obviously give out. And he kind"},{"speaker":"Unknown","startTime":1933.71,"endTime":1937.16,"body":"of explains everything they need"},{"speaker":"Unknown","startTime":1937.16,"endTime":1940.97,"body":"to know about the level whilst"},{"speaker":"Unknown","startTime":1937.16,"endTime":1940.97,"body":"also eating everything that they"},{"speaker":"Unknown","startTime":1940.97,"endTime":1942.35,"body":"need to eat. So yeah."},{"speaker":"Aaron Boysen","startTime":1943.67,"endTime":1945.5,"body":"And it also"},{"speaker":"Aaron Boysen","startTime":1943.67,"endTime":1945.5,"body":"probably helps the compliance as"},{"speaker":"Aaron Boysen","startTime":1945.5,"endTime":1948.86,"body":"well. I mean, if the if the diet"},{"speaker":"Aaron Boysen","startTime":1945.5,"endTime":1948.86,"body":"seems a little bit easier to"},{"speaker":"Aaron Boysen","startTime":1948.86,"endTime":1952.7,"body":"follow and less less"},{"speaker":"Aaron Boysen","startTime":1948.86,"endTime":1952.7,"body":"restrictive, and allows them to"},{"speaker":"Aaron Boysen","startTime":1952.7,"endTime":1956.33,"body":"feel well nourished and feel"},{"speaker":"Aaron Boysen","startTime":1952.7,"endTime":1956.33,"body":"satisfied, yes, then I know"},{"speaker":"Aaron Boysen","startTime":1956.33,"endTime":1959.21,"body":"that, for example, I would I"},{"speaker":"Aaron Boysen","startTime":1956.33,"endTime":1959.21,"body":"wouldn't feel pretty happy with"},{"speaker":"Aaron Boysen","startTime":1959.21,"endTime":1962.63,"body":"just quiche is my meat option."},{"speaker":"Aaron Boysen","startTime":1959.21,"endTime":1962.63,"body":"So I mean, adding that adding"},{"speaker":"Aaron Boysen","startTime":1962.63,"endTime":1965.63,"body":"that dietetic knowledge along"},{"speaker":"Aaron Boysen","startTime":1962.63,"endTime":1965.63,"body":"with their extensive experience"},{"speaker":"Aaron Boysen","startTime":1965.63,"endTime":1968.9,"body":"with dysphasia, managing"},{"speaker":"Aaron Boysen","startTime":1965.63,"endTime":1968.9,"body":"patients and managing sorts of"},{"speaker":"Aaron Boysen","startTime":1968.9,"endTime":1972.32,"body":"risks. I think with all of these"},{"speaker":"Aaron Boysen","startTime":1968.9,"endTime":1972.32,"body":"extended roles, I think one of"},{"speaker":"Aaron Boysen","startTime":1972.32,"endTime":1974.96,"body":"the things that really stands"},{"speaker":"Aaron Boysen","startTime":1972.32,"endTime":1974.96,"body":"out is the collaboration. Yeah."},{"speaker":"Aaron Boysen","startTime":1974.99,"endTime":1979.34,"body":"So for example, I've interviewed"},{"speaker":"Aaron Boysen","startTime":1974.99,"endTime":1979.34,"body":"a dietician Sam before who"},{"speaker":"Aaron Boysen","startTime":1979.34,"endTime":1983.0,"body":"places and G tubes and there's"},{"speaker":"Aaron Boysen","startTime":1979.34,"endTime":1983.0,"body":"other dietitians working in sort"},{"speaker":"Aaron Boysen","startTime":1983.0,"endTime":1986.18,"body":"of placing bedside nj tubes in"},{"speaker":"Aaron Boysen","startTime":1983.0,"endTime":1986.18,"body":"the acute setting. Yeah,"},{"speaker":"Aaron Boysen","startTime":1986.21,"endTime":1989.03,"body":"obviously, you're working with"},{"speaker":"Aaron Boysen","startTime":1986.21,"endTime":1989.03,"body":"dysphasia. And it never seems to"},{"speaker":"Aaron Boysen","startTime":1989.03,"endTime":1992.84,"body":"be a case of Oh, they've come in"},{"speaker":"Aaron Boysen","startTime":1989.03,"endTime":1992.84,"body":"and they've replaced somebody's"},{"speaker":"Aaron Boysen","startTime":1992.87,"endTime":1996.26,"body":"role. Yeah, it's always like"},{"speaker":"Aaron Boysen","startTime":1992.87,"endTime":1996.26,"body":"they, they supplement it. They"},{"speaker":"Aaron Boysen","startTime":1996.26,"endTime":1999.02,"body":"provide support, they provide"},{"speaker":"Aaron Boysen","startTime":1996.26,"endTime":1999.02,"body":"extra training they provide,"},{"speaker":"Aaron Boysen","startTime":1999.17,"endTime":2002.47,"body":"they fill a gap that wasn't"},{"speaker":"Aaron Boysen","startTime":1999.17,"endTime":2002.47,"body":"already filled, and it almost"},{"speaker":"Aaron Boysen","startTime":2002.47,"endTime":2006.4,"body":"enhances the collaboration"},{"speaker":"Aaron Boysen","startTime":2002.47,"endTime":2006.4,"body":"between them. So for example, mg"},{"speaker":"Aaron Boysen","startTime":2006.4,"endTime":2009.61,"body":"placement and sort of nutrition"},{"speaker":"Aaron Boysen","startTime":2006.4,"endTime":2009.61,"body":"nurses, through nutrition nurses"},{"speaker":"Aaron Boysen","startTime":2009.61,"endTime":2014.5,"body":"are still still very busy in"},{"speaker":"Aaron Boysen","startTime":2009.61,"endTime":2014.5,"body":"that in that setting, but it"},{"speaker":"Aaron Boysen","startTime":2014.5,"endTime":2018.46,"body":"just helps to provide it helps"},{"speaker":"Aaron Boysen","startTime":2014.5,"endTime":2018.46,"body":"to be almost like an extra pair"},{"speaker":"Aaron Boysen","startTime":2018.46,"endTime":2021.16,"body":"of eyes and ears for them as"},{"speaker":"Aaron Boysen","startTime":2018.46,"endTime":2021.16,"body":"well. Yeah. And I think that"},{"speaker":"Aaron Boysen","startTime":2021.16,"endTime":2024.25,"body":"really, really works well for I"},{"speaker":"Aaron Boysen","startTime":2021.16,"endTime":2024.25,"body":"mean, Speech Language"},{"speaker":"Aaron Boysen","startTime":2024.25,"endTime":2027.76,"body":"therapists, but obviously, as we"},{"speaker":"Aaron Boysen","startTime":2024.25,"endTime":2027.76,"body":"extend roles, it'd be great to"},{"speaker":"Aaron Boysen","startTime":2027.76,"endTime":2031.72,"body":"have physiotherapists,"},{"speaker":"Aaron Boysen","startTime":2027.76,"endTime":2031.72,"body":"occupational therapists, Speech"},{"speaker":"Aaron Boysen","startTime":2031.72,"endTime":2034.51,"body":"Language therapists, almost"},{"speaker":"Aaron Boysen","startTime":2031.72,"endTime":2034.51,"body":"screening for most and putting"},{"speaker":"Aaron Boysen","startTime":2034.51,"endTime":2037.66,"body":"an action plan in place before a"},{"speaker":"Aaron Boysen","startTime":2034.51,"endTime":2037.66,"body":"dietitian can even get there. I"},{"speaker":"Aaron Boysen","startTime":2037.66,"endTime":2042.85,"body":"think all of those ahps as well"},{"speaker":"Aaron Boysen","startTime":2037.66,"endTime":2042.85,"body":"as nurses would be perfect place"},{"speaker":"Aaron Boysen","startTime":2042.85,"endTime":2043.42,"body":"to do that."},{"speaker":"Unknown","startTime":2043.659,"endTime":2047.019,"body":"We can't see everybody"},{"speaker":"Unknown","startTime":2043.659,"endTime":2047.019,"body":"can we like you said it's, it's"},{"speaker":"Unknown","startTime":2047.079,"endTime":2050.499,"body":"an easy to do get towards the"},{"speaker":"Unknown","startTime":2047.079,"endTime":2050.499,"body":"pretty in dire straits at that"},{"speaker":"Unknown","startTime":2050.499,"endTime":2054.069,"body":"point, because they've been at"},{"speaker":"Unknown","startTime":2050.499,"endTime":2054.069,"body":"risk for so long. So like you"},{"speaker":"Unknown","startTime":2054.069,"endTime":2057.309,"body":"said, anybody that can get in"},{"speaker":"Unknown","startTime":2054.069,"endTime":2057.309,"body":"and do that kind of just that"},{"speaker":"Unknown","startTime":2057.309,"endTime":2060.339,"body":"first line advice. It's what we"},{"speaker":"Unknown","startTime":2057.309,"endTime":2060.339,"body":"will provide anyway into kind of"},{"speaker":"Unknown","startTime":2060.339,"endTime":2063.639,"body":"food fortification, snacks and"},{"speaker":"Unknown","startTime":2060.339,"endTime":2063.639,"body":"drinks. So yeah, is the same."},{"speaker":"Unknown","startTime":2063.639,"endTime":2067.239,"body":"And I think from what the speech"},{"speaker":"Unknown","startTime":2063.639,"endTime":2067.239,"body":"therapists do also appreciate"},{"speaker":"Unknown","startTime":2067.239,"endTime":2069.249,"body":"it. Because I'm a dietician, I"},{"speaker":"Unknown","startTime":2067.239,"endTime":2069.249,"body":"come from a different"},{"speaker":"Unknown","startTime":2069.249,"endTime":2071.799,"body":"background, I see things in a"},{"speaker":"Unknown","startTime":2069.249,"endTime":2071.799,"body":"different way. So when we're"},{"speaker":"Unknown","startTime":2071.799,"endTime":2074.529,"body":"talking about patients, it is a"},{"speaker":"Unknown","startTime":2071.799,"endTime":2074.529,"body":"different perspective, because"},{"speaker":"Unknown","startTime":2074.559,"endTime":2077.109,"body":"unlike most dieticians would get"},{"speaker":"Unknown","startTime":2074.559,"endTime":2077.109,"body":"very involved in what we do. And"},{"speaker":"Unknown","startTime":2077.109,"endTime":2080.079,"body":"we're very, we're not short"},{"speaker":"Unknown","startTime":2077.109,"endTime":2080.079,"body":"sighted, but obviously, we think"},{"speaker":"Unknown","startTime":2080.079,"endTime":2083.319,"body":"as dietitians so you know, for"},{"speaker":"Unknown","startTime":2080.079,"endTime":2083.319,"body":"me to go in there and say, Well,"},{"speaker":"Unknown","startTime":2083.319,"endTime":2085.449,"body":"actually, we thought about this"},{"speaker":"Unknown","startTime":2083.319,"endTime":2085.449,"body":"and we thought about that. The"},{"speaker":"Unknown","startTime":2085.449,"endTime":2087.969,"body":"speech therapists are like, Oh,"},{"speaker":"Unknown","startTime":2085.449,"endTime":2087.969,"body":"yeah, actually, that's a you"},{"speaker":"Unknown","startTime":2087.969,"endTime":2091.179,"body":"know, silverpine lets you know,"},{"speaker":"Unknown","startTime":2087.969,"endTime":2091.179,"body":"so it's, it's good to have two"},{"speaker":"Unknown","startTime":2091.179,"endTime":2092.589,"body":"heads. two heads are always"},{"speaker":"Unknown","startTime":2091.179,"endTime":2092.589,"body":"better than one."},{"speaker":"Aaron Boysen","startTime":2092.77,"endTime":2094.69,"body":"Definitely. Yeah."},{"speaker":"Aaron Boysen","startTime":2092.77,"endTime":2094.69,"body":"two heads about in the morning."},{"speaker":"Aaron Boysen","startTime":2095.17,"endTime":2098.14,"body":"Did you have any interesting"},{"speaker":"Aaron Boysen","startTime":2095.17,"endTime":2098.14,"body":"experience sort of with patients"},{"speaker":"Aaron Boysen","startTime":2098.14,"endTime":2104.32,"body":"or maybe case study that's"},{"speaker":"Aaron Boysen","startTime":2098.14,"endTime":2104.32,"body":"that's really exemplified how"},{"speaker":"Aaron Boysen","startTime":2104.38,"endTime":2106.12,"body":"how this works well together."},{"speaker":"Unknown","startTime":2106.329,"endTime":2109.239,"body":"And so I think my"},{"speaker":"Unknown","startTime":2106.329,"endTime":2109.239,"body":"favourite one, because obviously"},{"speaker":"Unknown","startTime":2109.239,"endTime":2112.119,"body":"they always stick out if you"},{"speaker":"Unknown","startTime":2109.239,"endTime":2112.119,"body":"don't then patients that you"},{"speaker":"Unknown","startTime":2112.119,"endTime":2115.719,"body":"always remember certain"},{"speaker":"Unknown","startTime":2112.119,"endTime":2115.719,"body":"patients. So I did I kind of"},{"speaker":"Unknown","startTime":2115.749,"endTime":2120.339,"body":"almost refer to it before. So we"},{"speaker":"Unknown","startTime":2115.749,"endTime":2120.339,"body":"had a fairly new patient who had"},{"speaker":"Unknown","startTime":2120.339,"endTime":2123.669,"body":"been admitted for making"},{"speaker":"Unknown","startTime":2120.339,"endTime":2123.669,"body":"hospital into a care home, he"},{"speaker":"Unknown","startTime":2123.669,"endTime":2127.149,"body":"had a stroke, and he will"},{"speaker":"Unknown","startTime":2123.669,"endTime":2127.149,"body":"discharge on eight teaspoons of"},{"speaker":"Unknown","startTime":2127.149,"endTime":2131.769,"body":"level three, or level fours. So"},{"speaker":"Unknown","startTime":2127.149,"endTime":2131.769,"body":"obviously that could be dying"},{"speaker":"Unknown","startTime":2131.799,"endTime":2135.819,"body":"off fluid six times a day. And"},{"speaker":"Unknown","startTime":2131.799,"endTime":2135.819,"body":"at the current happening in"},{"speaker":"Unknown","startTime":2135.819,"endTime":2138.219,"body":"another, like, he really wants"},{"speaker":"Unknown","startTime":2135.819,"endTime":2138.219,"body":"to eat more like he's looking"},{"speaker":"Unknown","startTime":2138.219,"endTime":2141.399,"body":"everybody else's food. Like it"},{"speaker":"Unknown","startTime":2138.219,"endTime":2141.399,"body":"is really sad. Like, I think"},{"speaker":"Unknown","startTime":2141.399,"endTime":2144.759,"body":"he'll be fine. Like, please, can"},{"speaker":"Unknown","startTime":2141.399,"endTime":2144.759,"body":"you come and see us? And so I"},{"speaker":"Unknown","startTime":2144.759,"endTime":2147.789,"body":"will have right yeah, okay,"},{"speaker":"Unknown","startTime":2144.759,"endTime":2147.789,"body":"obviously it will my peg patient"},{"speaker":"Unknown","startTime":2147.789,"endTime":2150.249,"body":"as well, because he's got a"},{"speaker":"Unknown","startTime":2147.789,"endTime":2150.249,"body":"feeding tube in place. So when"},{"speaker":"Unknown","startTime":2150.249,"endTime":2153.129,"body":"we're out to see him on the"},{"speaker":"Unknown","startTime":2150.249,"endTime":2153.129,"body":"first assessment are able to"},{"speaker":"Unknown","startTime":2153.219,"endTime":2156.879,"body":"help him to kind of no limit of"},{"speaker":"Unknown","startTime":2153.219,"endTime":2156.879,"body":"level three and no limit of"},{"speaker":"Unknown","startTime":2156.879,"endTime":2159.609,"body":"level four. So obviously, before"},{"speaker":"Unknown","startTime":2156.879,"endTime":2159.609,"body":"I run this, the teaspoon so that"},{"speaker":"Unknown","startTime":2159.609,"endTime":2162.549,"body":"you're able to manage unlimited"},{"speaker":"Unknown","startTime":2159.609,"endTime":2162.549,"body":"amounts. And then from that"},{"speaker":"Unknown","startTime":2162.549,"endTime":2166.029,"body":"point, I think he ran a bolus"},{"speaker":"Unknown","startTime":2162.549,"endTime":2166.029,"body":"feeding regime from that point,"},{"speaker":"Unknown","startTime":2166.059,"endTime":2169.209,"body":"he did not need any enteral feed"},{"speaker":"Unknown","startTime":2166.059,"endTime":2169.209,"body":"afterward at all, because of the"},{"speaker":"Unknown","startTime":2169.209,"endTime":2172.239,"body":"amount he ate. And he wanted to"},{"speaker":"Unknown","startTime":2169.209,"endTime":2172.239,"body":"eat that for us level three, and"},{"speaker":"Unknown","startTime":2172.239,"endTime":2174.489,"body":"level four, still quite"},{"speaker":"Unknown","startTime":2172.239,"endTime":2174.489,"body":"restrictive, we think and it's"},{"speaker":"Unknown","startTime":2174.489,"endTime":2177.639,"body":"still quite modified that I"},{"speaker":"Unknown","startTime":2174.489,"endTime":2177.639,"body":"would somebody meet the full"},{"speaker":"Unknown","startTime":2177.639,"endTime":2180.009,"body":"nutrition, hydration needs"},{"speaker":"Unknown","startTime":2177.639,"endTime":2180.009,"body":"without the use of repair. But"},{"speaker":"Unknown","startTime":2180.009,"endTime":2183.039,"body":"this chapter because it was so"},{"speaker":"Unknown","startTime":2180.009,"endTime":2183.039,"body":"eager, so it massively improved"},{"speaker":"Unknown","startTime":2183.039,"endTime":2185.949,"body":"his quality of life, he was so"},{"speaker":"Unknown","startTime":2183.039,"endTime":2185.949,"body":"happy. And then on the second"},{"speaker":"Unknown","startTime":2185.949,"endTime":2189.309,"body":"assessment, what I would do"},{"speaker":"Unknown","startTime":2185.949,"endTime":2189.309,"body":"normally is and it is partially"},{"speaker":"Unknown","startTime":2189.309,"endTime":2192.069,"body":"for my learning and for the"},{"speaker":"Unknown","startTime":2189.309,"endTime":2192.069,"body":"patient's benefit is if I make a"},{"speaker":"Unknown","startTime":2192.069,"endTime":2195.069,"body":"change, so we have level three"},{"speaker":"Unknown","startTime":2192.069,"endTime":2195.069,"body":"fluids where the level four"},{"speaker":"Unknown","startTime":2195.069,"endTime":2198.879,"body":"diet, I only changed an assess"},{"speaker":"Unknown","startTime":2195.069,"endTime":2198.879,"body":"the diet at that point. So if"},{"speaker":"Unknown","startTime":2198.879,"endTime":2201.939,"body":"anything, if he does have any"},{"speaker":"Unknown","startTime":2198.879,"endTime":2201.939,"body":"adverse signs, we're quite clear"},{"speaker":"Unknown","startTime":2201.939,"endTime":2204.879,"body":"on what caused the problem. If"},{"speaker":"Unknown","startTime":2201.939,"endTime":2204.879,"body":"you change fluids and diets"},{"speaker":"Unknown","startTime":2204.879,"endTime":2207.159,"body":"together, could it have been the"},{"speaker":"Unknown","startTime":2204.879,"endTime":2207.159,"body":"fluid that caused that but you"},{"speaker":"Unknown","startTime":2207.159,"endTime":2209.529,"body":"know, if he starts coughing and"},{"speaker":"Unknown","startTime":2207.159,"endTime":2209.529,"body":"children and things like that in"},{"speaker":"Unknown","startTime":2209.529,"endTime":2212.439,"body":"the counterparts here, as well,"},{"speaker":"Unknown","startTime":2209.529,"endTime":2212.439,"body":"because if documentation is not"},{"speaker":"Unknown","startTime":2212.439,"endTime":2215.049,"body":"great, and communication"},{"speaker":"Unknown","startTime":2212.439,"endTime":2215.049,"body":"sometimes you know, it gets"},{"speaker":"Unknown","startTime":2215.049,"endTime":2218.289,"body":"missed on what the problem was."},{"speaker":"Unknown","startTime":2215.049,"endTime":2218.289,"body":"So I went and I assessed diet"},{"speaker":"Unknown","startTime":2218.289,"endTime":2222.909,"body":"and he went from level five diet"},{"speaker":"Unknown","startTime":2218.289,"endTime":2222.909,"body":"to normal diet. So it was in the"},{"speaker":"Unknown","startTime":2222.909,"endTime":2225.459,"body":"second assessment in we're on"},{"speaker":"Unknown","startTime":2222.909,"endTime":2225.459,"body":"level three fluids and you're on"},{"speaker":"Unknown","startTime":2225.459,"endTime":2229.539,"body":"normal diet. And I left it about"},{"speaker":"Unknown","startTime":2225.459,"endTime":2229.539,"body":"two or three weeks to obviously"},{"speaker":"Unknown","startTime":2229.539,"endTime":2233.379,"body":"check that in manage that, okay,"},{"speaker":"Unknown","startTime":2229.539,"endTime":2233.379,"body":"went back after three weeks, he"},{"speaker":"Unknown","startTime":2233.379,"endTime":2238.299,"body":"put on 10 kilos, it'd been"},{"speaker":"Unknown","startTime":2233.379,"endTime":2238.299,"body":"having double meals. And then"},{"speaker":"Unknown","startTime":2238.299,"endTime":2241.089,"body":"obviously the third time I went"},{"speaker":"Unknown","startTime":2238.299,"endTime":2241.089,"body":"with SS fluids and we could only"},{"speaker":"Unknown","startTime":2241.089,"endTime":2243.939,"body":"get him up to level two, I'm"},{"speaker":"Unknown","startTime":2241.089,"endTime":2243.939,"body":"sorry, we could only you know"},{"speaker":"Unknown","startTime":2243.939,"endTime":2246.909,"body":"reduce the spectrum down to"},{"speaker":"Unknown","startTime":2243.939,"endTime":2246.909,"body":"level two. But it was still"},{"speaker":"Unknown","startTime":2246.909,"endTime":2250.089,"body":"quite happy with that. So you"},{"speaker":"Unknown","startTime":2246.909,"endTime":2250.089,"body":"know another another couple of"},{"speaker":"Unknown","startTime":2250.089,"endTime":2253.209,"body":"weeks and we'll refer for is"},{"speaker":"Unknown","startTime":2250.089,"endTime":2253.209,"body":"really true about so for me is"},{"speaker":"Unknown","startTime":2253.239,"endTime":2256.959,"body":"really troughed easy in double"},{"speaker":"Unknown","startTime":2253.239,"endTime":2256.959,"body":"meals and double puddings and"},{"speaker":"Unknown","startTime":2257.289,"endTime":2260.619,"body":"like you said eating and"},{"speaker":"Unknown","startTime":2257.289,"endTime":2260.619,"body":"drinking is so important it is"},{"speaker":"Unknown","startTime":2260.619,"endTime":2263.859,"body":"what we think about is what we"},{"speaker":"Unknown","startTime":2260.619,"endTime":2263.859,"body":"try and control is is everything"},{"speaker":"Unknown","startTime":2263.859,"endTime":2267.609,"body":"in two ways towards other"},{"speaker":"Unknown","startTime":2263.859,"endTime":2267.609,"body":"professions. But it's it's"},{"speaker":"Unknown","startTime":2267.609,"endTime":2270.999,"body":"definitely really important so"},{"speaker":"Unknown","startTime":2267.609,"endTime":2270.999,"body":"for me that really stuck out as"},{"speaker":"Unknown","startTime":2270.999,"endTime":2272.499,"body":"being kind of a really"},{"speaker":"Unknown","startTime":2270.999,"endTime":2272.499,"body":"successful"},{"speaker":"Aaron Boysen","startTime":2273.129,"endTime":2276.279,"body":"KPI thing you've"},{"speaker":"Aaron Boysen","startTime":2273.129,"endTime":2276.279,"body":"definitely experienced that."},{"speaker":"Aaron Boysen","startTime":2276.309,"endTime":2278.769,"body":"Yeah, yeah, definitely. Yeah,"},{"speaker":"Aaron Boysen","startTime":2276.309,"endTime":2278.769,"body":"and also the time of"},{"speaker":"Aaron Boysen","startTime":2278.769,"endTime":2282.699,"body":"interventions, probably shorter"},{"speaker":"Aaron Boysen","startTime":2278.769,"endTime":2282.699,"body":"dietetic dietetics, and speech"},{"speaker":"Aaron Boysen","startTime":2282.699,"endTime":2286.479,"body":"and language therapy as well. So"},{"speaker":"Aaron Boysen","startTime":2282.699,"endTime":2286.479,"body":"you already know that you're"},{"speaker":"Aaron Boysen","startTime":2286.479,"endTime":2288.849,"body":"planning to get his feeding tube"},{"speaker":"Aaron Boysen","startTime":2286.479,"endTime":2288.849,"body":"out you don't need a referral to"},{"speaker":"Aaron Boysen","startTime":2288.849,"endTime":2291.039,"body":"be sent and then it to be triage"},{"speaker":"Aaron Boysen","startTime":2288.849,"endTime":2291.039,"body":"and then it to go through all"},{"speaker":"Aaron Boysen","startTime":2291.039,"endTime":2294.639,"body":"the systems you already know"},{"speaker":"Aaron Boysen","startTime":2291.039,"endTime":2294.639,"body":"about that. And I know in a lot"},{"speaker":"Aaron Boysen","startTime":2294.639,"endTime":2298.599,"body":"of community settings obviously,"},{"speaker":"Aaron Boysen","startTime":2294.639,"endTime":2298.599,"body":"contracts vary and they're all"},{"speaker":"Aaron Boysen","startTime":2298.689,"endTime":2302.979,"body":"all secretive feed costs more"},{"speaker":"Aaron Boysen","startTime":2298.689,"endTime":2302.979,"body":"than food I think they usually"},{"speaker":"Aaron Boysen","startTime":2302.979,"endTime":2306.189,"body":"cost more than food like"},{"speaker":"Aaron Boysen","startTime":2302.979,"endTime":2306.189,"body":"supplements and all the"},{"speaker":"Aaron Boysen","startTime":2306.549,"endTime":2310.629,"body":"equipment that's needed all the"},{"speaker":"Aaron Boysen","startTime":2306.549,"endTime":2310.629,"body":"extra care that's needed. All"},{"speaker":"Aaron Boysen","startTime":2310.629,"endTime":2314.499,"body":"those things cost extra money"},{"speaker":"Aaron Boysen","startTime":2310.629,"endTime":2314.499,"body":"and time from nursing staff and"},{"speaker":"Aaron Boysen","startTime":2314.499,"endTime":2317.859,"body":"by actually reducing the amount"},{"speaker":"Aaron Boysen","startTime":2314.499,"endTime":2317.859,"body":"of feed that he's on not only"},{"speaker":"Aaron Boysen","startTime":2317.859,"endTime":2321.399,"body":"does it improve his quality of"},{"speaker":"Aaron Boysen","startTime":2317.859,"endTime":2321.399,"body":"life, it also reduces costs as"},{"speaker":"Aaron Boysen","startTime":2321.399,"endTime":2326.079,"body":"well. Yes, definitely a multiple"},{"speaker":"Aaron Boysen","startTime":2321.399,"endTime":2326.079,"body":"performance indicators there"},{"speaker":"Aaron Boysen","startTime":2326.139,"endTime":2329.199,"body":"that I would look out for that"},{"speaker":"Aaron Boysen","startTime":2326.139,"endTime":2329.199,"body":"sort of thing but yeah, that's a"},{"speaker":"Aaron Boysen","startTime":2329.229,"endTime":2331.479,"body":"that's a I imagine he's really"},{"speaker":"Aaron Boysen","startTime":2329.229,"endTime":2331.479,"body":"chuffed."},{"speaker":"Unknown","startTime":2331.629,"endTime":2335.439,"body":"He is and he's such a"},{"speaker":"Unknown","startTime":2331.629,"endTime":2335.439,"body":"lovely chap as well. Yeah, no,"},{"speaker":"Unknown","startTime":2335.439,"endTime":2338.079,"body":"it's it's really and I did the"},{"speaker":"Unknown","startTime":2335.439,"endTime":2338.079,"body":"same in an impatience as well."},{"speaker":"Unknown","startTime":2338.079,"endTime":2342.879,"body":"So I assessed a truckload at a"},{"speaker":"Unknown","startTime":2338.079,"endTime":2342.879,"body":"brain injury It was 12th of"},{"speaker":"Unknown","startTime":2342.879,"endTime":2345.759,"body":"August and it was three"},{"speaker":"Unknown","startTime":2342.879,"endTime":2345.759,"body":"teaspoons of milk three times a"},{"speaker":"Unknown","startTime":2345.759,"endTime":2348.519,"body":"day very rounded but on the milk"},{"speaker":"Unknown","startTime":2345.759,"endTime":2348.519,"body":"he wouldn't have anything else"},{"speaker":"Unknown","startTime":2348.549,"endTime":2353.019,"body":"and then by the second of"},{"speaker":"Unknown","startTime":2348.549,"endTime":2353.019,"body":"September, it were on a run full"},{"speaker":"Unknown","startTime":2353.019,"endTime":2356.769,"body":"amount of normal fluid anyone"},{"speaker":"Unknown","startTime":2353.019,"endTime":2356.769,"body":"level six soft about size by 18"},{"speaker":"Unknown","startTime":2356.769,"endTime":2360.189,"body":"to September we're on Novaya peg"},{"speaker":"Unknown","startTime":2356.769,"endTime":2360.189,"body":"and in revenues peg are a walk"},{"speaker":"Unknown","startTime":2360.219,"endTime":2364.269,"body":"on having a referral hopefully"},{"speaker":"Unknown","startTime":2360.219,"endTime":2364.269,"body":"to Abby's paper we also run that"},{"speaker":"Unknown","startTime":2364.269,"endTime":2366.819,"body":"trial so within six weeks,"},{"speaker":"Unknown","startTime":2364.269,"endTime":2366.819,"body":"they've gone from basically"},{"speaker":"Unknown","startTime":2366.819,"endTime":2370.809,"body":"being nearby mouth to being able"},{"speaker":"Unknown","startTime":2366.819,"endTime":2370.809,"body":"to eat and drink and not have to"},{"speaker":"Unknown","startTime":2370.809,"endTime":2373.629,"body":"use a feeding tube. So yeah,"},{"speaker":"Unknown","startTime":2370.809,"endTime":2373.629,"body":"like you said, it's quicker for"},{"speaker":"Unknown","startTime":2373.629,"endTime":2376.059,"body":"me our interventions and the"},{"speaker":"Unknown","startTime":2373.629,"endTime":2376.059,"body":"time is under our case with"},{"speaker":"Unknown","startTime":2376.059,"endTime":2378.969,"body":"because we're normally sat"},{"speaker":"Unknown","startTime":2376.059,"endTime":2378.969,"body":"waiting for speech therapy to go"},{"speaker":"Unknown","startTime":2378.969,"endTime":2382.179,"body":"and do the assessment so we can"},{"speaker":"Unknown","startTime":2378.969,"endTime":2382.179,"body":"do our bit whereas now it's it's"},{"speaker":"Unknown","startTime":2382.209,"endTime":2385.179,"body":"much quicker like so from both"},{"speaker":"Unknown","startTime":2382.209,"endTime":2385.179,"body":"sides. Yeah. And I always think"},{"speaker":"Unknown","startTime":2385.179,"endTime":2387.309,"body":"I'm always thinking about the"},{"speaker":"Unknown","startTime":2385.179,"endTime":2387.309,"body":"patient. But like I said, it"},{"speaker":"Unknown","startTime":2387.309,"endTime":2390.429,"body":"does have that knock on effects"},{"speaker":"Unknown","startTime":2387.309,"endTime":2390.429,"body":"was caring for a feeding tube. I"},{"speaker":"Unknown","startTime":2390.429,"endTime":2393.009,"body":"said it comes with an ESB. It"},{"speaker":"Unknown","startTime":2390.429,"endTime":2393.009,"body":"comes with a lot of costs, you"},{"speaker":"Unknown","startTime":2393.009,"endTime":2395.799,"body":"know, even impacts on things"},{"speaker":"Unknown","startTime":2393.009,"endTime":2395.799,"body":"like continuing health care and"},{"speaker":"Unknown","startTime":2395.799,"endTime":2398.799,"body":"placements that people have if"},{"speaker":"Unknown","startTime":2395.799,"endTime":2398.799,"body":"people have a feeding tube, they"},{"speaker":"Unknown","startTime":2398.799,"endTime":2401.229,"body":"have to have a certain placement"},{"speaker":"Unknown","startTime":2398.799,"endTime":2401.229,"body":"where Back can be cared for. So"},{"speaker":"Unknown","startTime":2401.229,"endTime":2404.139,"body":"it does make a massive impact to"},{"speaker":"Unknown","startTime":2401.229,"endTime":2404.139,"body":"things like discharge locations,"},{"speaker":"Unknown","startTime":2404.439,"endTime":2407.709,"body":"and things like that. So yeah,"},{"speaker":"Unknown","startTime":2404.439,"endTime":2407.709,"body":"there's Yeah, it does, it does"},{"speaker":"Unknown","startTime":2407.709,"endTime":2411.069,"body":"benefit a lot of a lot of"},{"speaker":"Unknown","startTime":2407.709,"endTime":2411.069,"body":"professionals, whether they know"},{"speaker":"Unknown","startTime":2411.069,"endTime":2411.549,"body":"it or not."},{"speaker":"Aaron Boysen","startTime":2412.36,"endTime":2414.1,"body":"That is a"},{"speaker":"Aaron Boysen","startTime":2412.36,"endTime":2414.1,"body":"brilliant story. I think it"},{"speaker":"Aaron Boysen","startTime":2414.1,"endTime":2416.89,"body":"definitely is. Definitely"},{"speaker":"Aaron Boysen","startTime":2414.1,"endTime":2416.89,"body":"improvements in patient care are"},{"speaker":"Aaron Boysen","startTime":2416.92,"endTime":2421.12,"body":"the fundamentals, but then the"},{"speaker":"Aaron Boysen","startTime":2416.92,"endTime":2421.12,"body":"extra is just icing on the cake,"},{"speaker":"Aaron Boysen","startTime":2421.12,"endTime":2425.83,"body":"but also justify the extra extra"},{"speaker":"Aaron Boysen","startTime":2421.12,"endTime":2425.83,"body":"cost of the dysphasia trainings."},{"speaker":"Aaron Boysen","startTime":2425.83,"endTime":2429.37,"body":"What sort of, if you don't mind"},{"speaker":"Aaron Boysen","startTime":2425.83,"endTime":2429.37,"body":"me asking what sort of cost? Do"},{"speaker":"Aaron Boysen","startTime":2429.37,"endTime":2431.74,"body":"they? What's the kind of"},{"speaker":"Aaron Boysen","startTime":2429.37,"endTime":2431.74,"body":"ballpark that these sort of"},{"speaker":"Aaron Boysen","startTime":2431.74,"endTime":2434.2,"body":"trainings come out? Maybe not"},{"speaker":"Aaron Boysen","startTime":2431.74,"endTime":2434.2,"body":"the, you don't need to say that"},{"speaker":"Aaron Boysen","startTime":2434.2,"endTime":2436.81,"body":"particular one. But what sort of"},{"speaker":"Aaron Boysen","startTime":2434.2,"endTime":2436.81,"body":"prices are we looking at?"},{"speaker":"Unknown","startTime":2437.05,"endTime":2440.5,"body":"I think, and I could be"},{"speaker":"Unknown","startTime":2437.05,"endTime":2440.5,"body":"completely wrong, but I'm sure"},{"speaker":"Unknown","startTime":2440.53,"endTime":2443.86,"body":"it were about 900 pound, I"},{"speaker":"Unknown","startTime":2440.53,"endTime":2443.86,"body":"won't, I won't like say for"},{"speaker":"Unknown","startTime":2443.86,"endTime":2447.7,"body":"sure. But it's around is around"},{"speaker":"Unknown","startTime":2443.86,"endTime":2447.7,"body":"that price. But I don't think"},{"speaker":"Unknown","startTime":2447.7,"endTime":2451.09,"body":"price really came into it only"},{"speaker":"Unknown","startTime":2447.7,"endTime":2451.09,"body":"because it's such a normal thing"},{"speaker":"Unknown","startTime":2451.09,"endTime":2453.97,"body":"that wants to speech therapists"},{"speaker":"Unknown","startTime":2451.09,"endTime":2453.97,"body":"have graduated, then they go to"},{"speaker":"Unknown","startTime":2453.97,"endTime":2456.07,"body":"the offices that work for a"},{"speaker":"Unknown","startTime":2453.97,"endTime":2456.07,"body":"trust, and then the trust will"},{"speaker":"Unknown","startTime":2456.07,"endTime":2459.22,"body":"send them on that cost. It's a"},{"speaker":"Unknown","startTime":2456.07,"endTime":2459.22,"body":"bit like it's not an easy,"},{"speaker":"Unknown","startTime":2459.28,"endTime":2462.76,"body":"obviously it's a 3030 credit"},{"speaker":"Unknown","startTime":2459.28,"endTime":2462.76,"body":"masters module is just something"},{"speaker":"Unknown","startTime":2462.76,"endTime":2465.55,"body":"that they just do that just kind"},{"speaker":"Unknown","startTime":2462.76,"endTime":2465.55,"body":"of because they expect all"},{"speaker":"Unknown","startTime":2465.55,"endTime":2468.25,"body":"Speech Language therapists do"},{"speaker":"Unknown","startTime":2465.55,"endTime":2468.25,"body":"basically needs to be dysphasia"},{"speaker":"Unknown","startTime":2468.25,"endTime":2470.35,"body":"trained, they might not work in"},{"speaker":"Unknown","startTime":2468.25,"endTime":2470.35,"body":"that area. And that's obviously"},{"speaker":"Unknown","startTime":2470.35,"endTime":2472.84,"body":"different. For example, if the"},{"speaker":"Unknown","startTime":2470.35,"endTime":2472.84,"body":"work in a school might just be"},{"speaker":"Unknown","startTime":2472.84,"endTime":2476.65,"body":"communication, but as I said,"},{"speaker":"Unknown","startTime":2472.84,"endTime":2476.65,"body":"most speech therapists are"},{"speaker":"Unknown","startTime":2476.95,"endTime":2480.64,"body":"trained to dysphasia as well. So"},{"speaker":"Unknown","startTime":2476.95,"endTime":2480.64,"body":"yeah, I don't think crosswalk, I"},{"speaker":"Unknown","startTime":2480.64,"endTime":2483.07,"body":"think it was too important. And"},{"speaker":"Unknown","startTime":2480.64,"endTime":2483.07,"body":"like you said, I think we"},{"speaker":"Unknown","startTime":2483.07,"endTime":2487.84,"body":"probably just need to sit and"},{"speaker":"Unknown","startTime":2483.07,"endTime":2487.84,"body":"work out what this has actually"},{"speaker":"Unknown","startTime":2487.84,"endTime":2489.82,"body":"saved. Because we wanted to do"},{"speaker":"Unknown","startTime":2487.84,"endTime":2489.82,"body":"that"},{"speaker":"Aaron Boysen","startTime":2489.82,"endTime":2492.7,"body":"I can imagine it's"},{"speaker":"Aaron Boysen","startTime":2489.82,"endTime":2492.7,"body":"probably that patient experience"},{"speaker":"Aaron Boysen","startTime":2492.7,"endTime":2496.87,"body":"would definitely be an area"},{"speaker":"Aaron Boysen","startTime":2492.7,"endTime":2496.87,"body":"where I think would be the"},{"speaker":"Aaron Boysen","startTime":2496.87,"endTime":2499.3,"body":"biggest adding that's one of the"},{"speaker":"Aaron Boysen","startTime":2496.87,"endTime":2499.3,"body":"biggest things, and I think"},{"speaker":"Aaron Boysen","startTime":2499.3,"endTime":2502.24,"body":"everyone would acknowledge that."},{"speaker":"Aaron Boysen","startTime":2499.3,"endTime":2502.24,"body":"And I think it's not a hard"},{"speaker":"Aaron Boysen","startTime":2502.24,"endTime":2507.13,"body":"thing to grasp that. Obviously,"},{"speaker":"Aaron Boysen","startTime":2502.24,"endTime":2507.13,"body":"eating is nice and improves"},{"speaker":"Aaron Boysen","startTime":2507.13,"endTime":2510.55,"body":"people's people's lives. Do you"},{"speaker":"Aaron Boysen","startTime":2507.13,"endTime":2510.55,"body":"have anything else you want to"},{"speaker":"Aaron Boysen","startTime":2510.55,"endTime":2514.33,"body":"say in regards to dysphasia? Or"},{"speaker":"Aaron Boysen","startTime":2510.55,"endTime":2514.33,"body":"this particular from start to"},{"speaker":"Aaron Boysen","startTime":2514.33,"endTime":2517.84,"body":"finish? What's been the biggest"},{"speaker":"Aaron Boysen","startTime":2514.33,"endTime":2517.84,"body":"hurdle or barrier that you've"},{"speaker":"Aaron Boysen","startTime":2517.84,"endTime":2521.95,"body":"encountered to actually"},{"speaker":"Aaron Boysen","startTime":2517.84,"endTime":2521.95,"body":"implementing this dysphasia"},{"speaker":"Aaron Boysen","startTime":2521.95,"endTime":2524.26,"body":"training into practice? Or even"},{"speaker":"Aaron Boysen","startTime":2521.95,"endTime":2524.26,"body":"the training itself?"},{"speaker":"Unknown","startTime":2524.8,"endTime":2528.31,"body":"I would say the biggest"},{"speaker":"Unknown","startTime":2524.8,"endTime":2528.31,"body":"hurdle was was the training"},{"speaker":"Unknown","startTime":2528.31,"endTime":2531.55,"body":"itself, I think, is it what"},{"speaker":"Unknown","startTime":2528.31,"endTime":2531.55,"body":"really was a difficult course"},{"speaker":"Unknown","startTime":2531.55,"endTime":2534.1,"body":"because because I didn't have"},{"speaker":"Unknown","startTime":2531.55,"endTime":2534.1,"body":"the speech therapy background."},{"speaker":"Unknown","startTime":2534.25,"endTime":2536.29,"body":"And the speech therapists who"},{"speaker":"Unknown","startTime":2534.25,"endTime":2536.29,"body":"wanted the class, they have like"},{"speaker":"Unknown","startTime":2536.29,"endTime":2538.6,"body":"three to four years of that"},{"speaker":"Unknown","startTime":2536.29,"endTime":2538.6,"body":"underpinning knowledge of all"},{"speaker":"Unknown","startTime":2538.6,"endTime":2541.96,"body":"the muscle culture for the"},{"speaker":"Unknown","startTime":2538.6,"endTime":2541.96,"body":"communication, the swallow,"},{"speaker":"Unknown","startTime":2541.96,"endTime":2545.41,"body":"they've got all the aetiology,"},{"speaker":"Unknown","startTime":2541.96,"endTime":2545.41,"body":"whereas I didn't have that. So"},{"speaker":"Unknown","startTime":2545.41,"endTime":2548.5,"body":"that was a massive, massive"},{"speaker":"Unknown","startTime":2545.41,"endTime":2548.5,"body":"learning curve for me. And"},{"speaker":"Unknown","startTime":2548.5,"endTime":2551.26,"body":"there's such a variety,"},{"speaker":"Unknown","startTime":2548.5,"endTime":2551.26,"body":"radiology and different patients"},{"speaker":"Unknown","startTime":2551.26,"endTime":2554.17,"body":"and things like that. It was it"},{"speaker":"Unknown","startTime":2551.26,"endTime":2554.17,"body":"was really difficult. I mean,"},{"speaker":"Unknown","startTime":2554.17,"endTime":2556.18,"body":"some muscle provides to"},{"speaker":"Unknown","startTime":2554.17,"endTime":2556.18,"body":"determine that some speech"},{"speaker":"Unknown","startTime":2556.18,"endTime":2559.57,"body":"therapists don't actually pass"},{"speaker":"Unknown","startTime":2556.18,"endTime":2559.57,"body":"first time. So the fact that I"},{"speaker":"Unknown","startTime":2559.57,"endTime":2561.82,"body":"did pass, I think is quite an"},{"speaker":"Unknown","startTime":2559.57,"endTime":2561.82,"body":"achievement in itself. And I"},{"speaker":"Unknown","startTime":2561.82,"endTime":2564.61,"body":"think because as I said, it's"},{"speaker":"Unknown","startTime":2561.82,"endTime":2564.61,"body":"very subjective. And there's"},{"speaker":"Unknown","startTime":2564.61,"endTime":2567.31,"body":"lots of grey areas, and it could"},{"speaker":"Unknown","startTime":2564.61,"endTime":2567.31,"body":"be this and it could be that it"},{"speaker":"Unknown","startTime":2567.31,"endTime":2570.67,"body":"don't sit well for somebody who"},{"speaker":"Unknown","startTime":2567.31,"endTime":2570.67,"body":"likes things in order and a bit"},{"speaker":"Unknown","startTime":2570.67,"endTime":2573.07,"body":"OCD and likes to make sure that"},{"speaker":"Unknown","startTime":2570.67,"endTime":2573.07,"body":"we know what we're doing. And"},{"speaker":"Unknown","startTime":2573.07,"endTime":2575.5,"body":"this is it. And this is this bit"},{"speaker":"Unknown","startTime":2573.07,"endTime":2575.5,"body":"like oh, it could be this. It"},{"speaker":"Unknown","startTime":2575.5,"endTime":2578.35,"body":"could be that so it's, it's made"},{"speaker":"Unknown","startTime":2575.5,"endTime":2578.35,"body":"me be a lot more flexible. It"},{"speaker":"Unknown","startTime":2578.35,"endTime":2581.05,"body":"has made me a much better"},{"speaker":"Unknown","startTime":2578.35,"endTime":2581.05,"body":"practitioner. But yeah, I would,"},{"speaker":"Unknown","startTime":2581.08,"endTime":2585.01,"body":"I would say the actual doing it."},{"speaker":"Unknown","startTime":2581.08,"endTime":2585.01,"body":"I've had amazing support from my"},{"speaker":"Unknown","startTime":2585.01,"endTime":2588.61,"body":"team. They're just the fabulous,"},{"speaker":"Unknown","startTime":2585.01,"endTime":2588.61,"body":"but from a dietetic perspective,"},{"speaker":"Unknown","startTime":2588.61,"endTime":2591.55,"body":"and obviously with speech,"},{"speaker":"Unknown","startTime":2588.61,"endTime":2591.55,"body":"though, between actually doing"},{"speaker":"Unknown","startTime":2591.55,"endTime":2596.47,"body":"it, and seeing patients getting"},{"speaker":"Unknown","startTime":2591.55,"endTime":2596.47,"body":"a competency. Oh, that was it"},{"speaker":"Unknown","startTime":2596.47,"endTime":2599.53,"body":"will it will fun, it was really"},{"speaker":"Unknown","startTime":2596.47,"endTime":2599.53,"body":"difficult. And then you get to a"},{"speaker":"Unknown","startTime":2599.53,"endTime":2603.46,"body":"point it's a bit like I assume,"},{"speaker":"Unknown","startTime":2599.53,"endTime":2603.46,"body":"everybody, as we've gone through"},{"speaker":"Unknown","startTime":2603.46,"endTime":2607.09,"body":"a study is being a student"},{"speaker":"Unknown","startTime":2603.46,"endTime":2607.09,"body":"dietician, you wake up one day,"},{"speaker":"Unknown","startTime":2607.15,"endTime":2611.23,"body":"all you see that one patient"},{"speaker":"Unknown","startTime":2607.15,"endTime":2611.23,"body":"anything, yeah. Okay, now, I"},{"speaker":"Unknown","startTime":2611.23,"endTime":2613.81,"body":"understand what I'm doing. You"},{"speaker":"Unknown","startTime":2611.23,"endTime":2613.81,"body":"just have that lightbulb moment,"},{"speaker":"Unknown","startTime":2613.81,"endTime":2616.3,"body":"we think it all kind of makes"},{"speaker":"Unknown","startTime":2613.81,"endTime":2616.3,"body":"sense. And now I'm kind of"},{"speaker":"Unknown","startTime":2616.3,"endTime":2618.58,"body":"getting to that point. And this"},{"speaker":"Unknown","startTime":2616.3,"endTime":2618.58,"body":"is kind of two years down the"},{"speaker":"Unknown","startTime":2618.58,"endTime":2621.1,"body":"line with the disclosure. So I"},{"speaker":"Unknown","startTime":2618.58,"endTime":2621.1,"body":"feel like it just takes a lot"},{"speaker":"Unknown","startTime":2621.1,"endTime":2623.5,"body":"longer. And I think it's because"},{"speaker":"Unknown","startTime":2621.1,"endTime":2623.5,"body":"I don't I didn't have the"},{"speaker":"Unknown","startTime":2623.5,"endTime":2627.28,"body":"background at the speech therapy"},{"speaker":"Unknown","startTime":2623.5,"endTime":2627.28,"body":"still, but the actual training"},{"speaker":"Unknown","startTime":2627.31,"endTime":2630.46,"body":"and working in this area,"},{"speaker":"Unknown","startTime":2627.31,"endTime":2630.46,"body":"there's not really been any"},{"speaker":"Unknown","startTime":2630.46,"endTime":2632.41,"body":"barriers. And I said it's"},{"speaker":"Unknown","startTime":2630.46,"endTime":2632.41,"body":"because of the amazing support"},{"speaker":"Unknown","startTime":2632.41,"endTime":2635.11,"body":"I've had from the managers and"},{"speaker":"Unknown","startTime":2632.41,"endTime":2635.11,"body":"from the team. And that's really"},{"speaker":"Unknown","startTime":2635.11,"endTime":2639.85,"body":"fundamental, because it is quite"},{"speaker":"Unknown","startTime":2635.11,"endTime":2639.85,"body":"a lonely thing to do, especially"},{"speaker":"Unknown","startTime":2639.88,"endTime":2642.46,"body":"as you're the only dietitian it"},{"speaker":"Unknown","startTime":2639.88,"endTime":2642.46,"body":"was this way to train so you do"},{"speaker":"Unknown","startTime":2642.46,"endTime":2645.19,"body":"feel a bit like a bit of an"},{"speaker":"Unknown","startTime":2642.46,"endTime":2645.19,"body":"outsider in your own mind even"},{"speaker":"Unknown","startTime":2645.19,"endTime":2648.4,"body":"though it weren't like that at"},{"speaker":"Unknown","startTime":2645.19,"endTime":2648.4,"body":"all. So yeah, it's important to"},{"speaker":"Unknown","startTime":2648.4,"endTime":2651.22,"body":"get this part from everybody but"},{"speaker":"Unknown","startTime":2648.4,"endTime":2651.22,"body":"no, it's been a it's been a"},{"speaker":"Unknown","startTime":2651.22,"endTime":2654.28,"body":"really good experience. And I"},{"speaker":"Unknown","startTime":2651.22,"endTime":2654.28,"body":"definitely think we should have"},{"speaker":"Unknown","startTime":2654.28,"endTime":2656.89,"body":"more disposed to join dieticians"},{"speaker":"Unknown","startTime":2654.28,"endTime":2656.89,"body":"I think this is this is the"},{"speaker":"Unknown","startTime":2656.89,"endTime":2658.36,"body":"future it's the way forward I"},{"speaker":"Aaron Boysen","startTime":2658.36,"endTime":2660.49,"body":"mean, it's"},{"speaker":"Aaron Boysen","startTime":2658.36,"endTime":2660.49,"body":"definitely part of common"},{"speaker":"Aaron Boysen","startTime":2660.52,"endTime":2664.42,"body":"exactly which NHS sort of wider"},{"speaker":"Aaron Boysen","startTime":2660.52,"endTime":2664.42,"body":"structure document is HPS in"},{"speaker":"Aaron Boysen","startTime":2664.42,"endTime":2667.72,"body":"action or something. Yeah, using"},{"speaker":"Aaron Boysen","startTime":2664.42,"endTime":2667.72,"body":"the workforce we already have"},{"speaker":"Aaron Boysen","startTime":2667.99,"endTime":2671.11,"body":"expanding roles, thinking of"},{"speaker":"Aaron Boysen","startTime":2667.99,"endTime":2671.11,"body":"ways we can work more"},{"speaker":"Aaron Boysen","startTime":2671.11,"endTime":2674.17,"body":"collaboratively together. And I"},{"speaker":"Aaron Boysen","startTime":2671.11,"endTime":2674.17,"body":"do think that's probably one of"},{"speaker":"Aaron Boysen","startTime":2674.17,"endTime":2676.45,"body":"the fundamentals of teamwork."},{"speaker":"Aaron Boysen","startTime":2674.17,"endTime":2676.45,"body":"And if you think about lots of"},{"speaker":"Aaron Boysen","startTime":2676.45,"endTime":2679.51,"body":"team sports, you'll have people"},{"speaker":"Aaron Boysen","startTime":2676.45,"endTime":2679.51,"body":"with Assigned Roles such as"},{"speaker":"Aaron Boysen","startTime":2679.51,"endTime":2683.38,"body":"strikers defenders and stuff"},{"speaker":"Aaron Boysen","startTime":2679.51,"endTime":2683.38,"body":"underscores a goal no one's"},{"speaker":"Aaron Boysen","startTime":2683.38,"endTime":2686.23,"body":"gonna go Whoa, what are you"},{"speaker":"Aaron Boysen","startTime":2683.38,"endTime":2686.23,"body":"doing? You may mean offence May."},{"speaker":"Aaron Boysen","startTime":2687.49,"endTime":2690.76,"body":"Yeah, however, but if they, for"},{"speaker":"Aaron Boysen","startTime":2687.49,"endTime":2690.76,"body":"example, if a defender tries to"},{"speaker":"Aaron Boysen","startTime":2690.76,"endTime":2695.11,"body":"score a goal, but maybe lacks"},{"speaker":"Aaron Boysen","startTime":2690.76,"endTime":2695.11,"body":"his fundamental skills of"},{"speaker":"Aaron Boysen","startTime":2695.2,"endTime":2698.17,"body":"protecting the goal, people"},{"speaker":"Aaron Boysen","startTime":2695.2,"endTime":2698.17,"body":"might say actually, you know, he"},{"speaker":"Aaron Boysen","startTime":2698.17,"endTime":2700.6,"body":"shouldn't have been scoring that"},{"speaker":"Aaron Boysen","startTime":2698.17,"endTime":2700.6,"body":"goal in the first place. So it"},{"speaker":"Aaron Boysen","startTime":2700.6,"endTime":2703.36,"body":"is I think, what's been gone"},{"speaker":"Aaron Boysen","startTime":2700.6,"endTime":2703.36,"body":"through it's it's definitely"},{"speaker":"Aaron Boysen","startTime":2703.36,"endTime":2706.51,"body":"some of these skills are quite"},{"speaker":"Aaron Boysen","startTime":2703.36,"endTime":2706.51,"body":"advanced skills. And it's"},{"speaker":"Aaron Boysen","startTime":2706.51,"endTime":2709.9,"body":"important to make sure we've got"},{"speaker":"Aaron Boysen","startTime":2706.51,"endTime":2709.9,"body":"that underpinning of dietetic"},{"speaker":"Aaron Boysen","startTime":2709.9,"endTime":2713.11,"body":"knowledge and dietetic"},{"speaker":"Aaron Boysen","startTime":2709.9,"endTime":2713.11,"body":"experience before we try to,"},{"speaker":"Aaron Boysen","startTime":2713.68,"endTime":2716.53,"body":"yeah, extend into other roles or"},{"speaker":"Aaron Boysen","startTime":2713.68,"endTime":2716.53,"body":"do other things."},{"speaker":"Unknown","startTime":2716.559,"endTime":2719.259,"body":"Yeah. I think you have"},{"speaker":"Unknown","startTime":2716.559,"endTime":2719.259,"body":"to feel confident in your role"},{"speaker":"Unknown","startTime":2719.259,"endTime":2723.429,"body":"because it is a huge job. I"},{"speaker":"Unknown","startTime":2719.259,"endTime":2723.429,"body":"mean, it's a Master's anyway. So"},{"speaker":"Unknown","startTime":2723.429,"endTime":2726.489,"body":"I will never quite interested in"},{"speaker":"Unknown","startTime":2723.429,"endTime":2726.489,"body":"doing anything other than"},{"speaker":"Unknown","startTime":2726.489,"endTime":2729.429,"body":"undergraduate I will quite happy"},{"speaker":"Unknown","startTime":2726.489,"endTime":2729.429,"body":"to learn better from experience"},{"speaker":"Unknown","startTime":2729.429,"endTime":2732.759,"body":"than kind of academic work. So"},{"speaker":"Unknown","startTime":2729.429,"endTime":2732.759,"body":"the fact that it will, a Masters"},{"speaker":"Unknown","startTime":2732.759,"endTime":2736.449,"body":"That in itself, it just kind of"},{"speaker":"Unknown","startTime":2732.759,"endTime":2736.449,"body":"shows how hard it is. But you"},{"speaker":"Unknown","startTime":2736.449,"endTime":2739.179,"body":"know, how challenging it can be."},{"speaker":"Unknown","startTime":2736.449,"endTime":2739.179,"body":"So yeah, it's really important"},{"speaker":"Unknown","startTime":2739.179,"endTime":2741.549,"body":"to to, I think that's really the"},{"speaker":"Unknown","startTime":2739.179,"endTime":2741.549,"body":"point that you've made to keep"},{"speaker":"Unknown","startTime":2741.549,"endTime":2743.589,"body":"to make sure that you're"},{"speaker":"Unknown","startTime":2741.549,"endTime":2743.589,"body":"confident within your own role."},{"speaker":"Unknown","startTime":2743.799,"endTime":2745.689,"body":"If I start branching out and"},{"speaker":"Unknown","startTime":2743.799,"endTime":2745.689,"body":"doing other things,"},{"speaker":"Aaron Boysen","startTime":2745.75,"endTime":2747.67,"body":"definitely, I"},{"speaker":"Aaron Boysen","startTime":2745.75,"endTime":2747.67,"body":"think there's probably there's"},{"speaker":"Aaron Boysen","startTime":2747.67,"endTime":2750.43,"body":"probably lots of enthusiastic,"},{"speaker":"Aaron Boysen","startTime":2747.67,"endTime":2750.43,"body":"say student dieticians out"},{"speaker":"Aaron Boysen","startTime":2750.43,"endTime":2753.34,"body":"there, or newly qualified"},{"speaker":"Aaron Boysen","startTime":2750.43,"endTime":2753.34,"body":"dietitians that are looking to"},{"speaker":"Aaron Boysen","startTime":2753.34,"endTime":2755.38,"body":"just jump straight into this"},{"speaker":"Aaron Boysen","startTime":2753.34,"endTime":2755.38,"body":"area and thinking I want to do"},{"speaker":"Aaron Boysen","startTime":2755.38,"endTime":2757.66,"body":"that right now. And that's,"},{"speaker":"Aaron Boysen","startTime":2755.38,"endTime":2757.66,"body":"that's a wonderful skill to"},{"speaker":"Aaron Boysen","startTime":2757.66,"endTime":2762.73,"body":"have. Yeah. But also remembering"},{"speaker":"Aaron Boysen","startTime":2757.66,"endTime":2762.73,"body":"that dietitians are dieticians"},{"speaker":"Aaron Boysen","startTime":2762.73,"endTime":2766.78,"body":"and we've got to make sure that"},{"speaker":"Aaron Boysen","startTime":2762.73,"endTime":2766.78,"body":"we're, we we can eventually"},{"speaker":"Aaron Boysen","startTime":2766.78,"endTime":2770.83,"body":"learn to do other jobs on the"},{"speaker":"Aaron Boysen","startTime":2766.78,"endTime":2770.83,"body":"pitch. Also, where were our"},{"speaker":"Aaron Boysen","startTime":2770.86,"endTime":2774.07,"body":"defenders or strikers, or where"},{"speaker":"Aaron Boysen","startTime":2770.86,"endTime":2774.07,"body":"wherever opposition is, first of"},{"speaker":"Aaron Boysen","startTime":2774.07,"endTime":2777.07,"body":"all, yeah, and then we extend"},{"speaker":"Aaron Boysen","startTime":2774.07,"endTime":2777.07,"body":"into other roles and support"},{"speaker":"Aaron Boysen","startTime":2777.07,"endTime":2780.31,"body":"other professions and things."},{"speaker":"Aaron Boysen","startTime":2777.07,"endTime":2780.31,"body":"And I think that that obviously"},{"speaker":"Aaron Boysen","startTime":2780.31,"endTime":2782.89,"body":"works. Obviously, the more you"},{"speaker":"Aaron Boysen","startTime":2780.31,"endTime":2782.89,"body":"understand about other people's"},{"speaker":"Aaron Boysen","startTime":2782.89,"endTime":2785.74,"body":"roles, you can actually work"},{"speaker":"Aaron Boysen","startTime":2782.89,"endTime":2785.74,"body":"better as a team as well,"},{"speaker":"Unknown","startTime":2785.889,"endTime":2788.409,"body":"I think as well. But in"},{"speaker":"Unknown","startTime":2785.889,"endTime":2788.409,"body":"terms of like your 2020, as"},{"speaker":"Unknown","startTime":2788.409,"endTime":2790.119,"body":"well, definitely. So"},{"speaker":"Aaron Boysen","startTime":2791.41,"endTime":2793.54,"body":"good analogy"},{"speaker":"Aaron Boysen","startTime":2791.41,"endTime":2793.54,"body":"there. Are there any areas where"},{"speaker":"Aaron Boysen","startTime":2793.54,"endTime":2797.65,"body":"you think the combination of"},{"speaker":"Aaron Boysen","startTime":2793.54,"endTime":2797.65,"body":"having both dietetic knowledge"},{"speaker":"Aaron Boysen","startTime":2797.65,"endTime":2800.62,"body":"and then that dysphasia training"},{"speaker":"Aaron Boysen","startTime":2797.65,"endTime":2800.62,"body":"would be helpful in combination?"},{"speaker":"Aaron Boysen","startTime":2800.62,"endTime":2800.95,"body":"Yeah."},{"speaker":"Unknown","startTime":2801.76,"endTime":2804.43,"body":"So I think obviously,"},{"speaker":"Unknown","startTime":2801.76,"endTime":2804.43,"body":"the role that I'm in now, so in"},{"speaker":"Unknown","startTime":2804.43,"endTime":2807.82,"body":"community in care rooms are"},{"speaker":"Unknown","startTime":2804.43,"endTime":2807.82,"body":"worked quite well. So obviously,"},{"speaker":"Unknown","startTime":2808.15,"endTime":2812.38,"body":"dietetic services in carry on is"},{"speaker":"Unknown","startTime":2808.15,"endTime":2812.38,"body":"quite a lot into, we do get"},{"speaker":"Unknown","startTime":2812.38,"endTime":2813.85,"body":"quite a lot of referrals, and"},{"speaker":"Unknown","startTime":2812.38,"endTime":2813.85,"body":"obviously, the different"},{"speaker":"Unknown","startTime":2813.85,"endTime":2816.91,"body":"pathways across country, so that"},{"speaker":"Unknown","startTime":2813.85,"endTime":2816.91,"body":"will be really good. I think"},{"speaker":"Unknown","startTime":2816.94,"endTime":2821.59,"body":"acute stroke might be quite good"},{"speaker":"Unknown","startTime":2816.94,"endTime":2821.59,"body":"as well. And, obviously, because"},{"speaker":"Unknown","startTime":2821.59,"endTime":2825.22,"body":"if a lot of patients do become"},{"speaker":"Unknown","startTime":2821.59,"endTime":2825.22,"body":"nil by mouth, or if the need and"},{"speaker":"Unknown","startTime":2825.22,"endTime":2830.68,"body":"G tubes can be impact made their"},{"speaker":"Unknown","startTime":2825.22,"endTime":2830.68,"body":"neuro rehab as well, obviously,"},{"speaker":"Unknown","startTime":2830.68,"endTime":2833.44,"body":"I work on your rehab at the"},{"speaker":"Unknown","startTime":2830.68,"endTime":2833.44,"body":"moment. And again, patients can"},{"speaker":"Unknown","startTime":2833.44,"endTime":2835.78,"body":"come from the acute setting"},{"speaker":"Unknown","startTime":2833.44,"endTime":2835.78,"body":"nearby mouth, they might have"},{"speaker":"Unknown","startTime":2835.84,"endTime":2838.78,"body":"pictures in place. So again,"},{"speaker":"Unknown","startTime":2835.84,"endTime":2838.78,"body":"it's quite relevant there. How"},{"speaker":"Unknown","startTime":2838.78,"endTime":2842.44,"body":"much of feeding would be"},{"speaker":"Unknown","startTime":2838.78,"endTime":2842.44,"body":"probably a good one, the only"},{"speaker":"Unknown","startTime":2842.44,"endTime":2845.38,"body":"thing to consider with that is"},{"speaker":"Unknown","startTime":2842.44,"endTime":2845.38,"body":"that there are lots of different"},{"speaker":"Unknown","startTime":2845.38,"endTime":2848.65,"body":"conditions, as we know, for"},{"speaker":"Unknown","startTime":2845.38,"endTime":2848.65,"body":"people who have enteral, feeding"},{"speaker":"Unknown","startTime":2848.65,"endTime":2851.5,"body":"tubes. So obviously, if you're"},{"speaker":"Unknown","startTime":2848.65,"endTime":2851.5,"body":"working, for example, on neuro"},{"speaker":"Unknown","startTime":2851.5,"endTime":2853.78,"body":"rehab, and his brain injury"},{"speaker":"Unknown","startTime":2851.5,"endTime":2853.78,"body":"unit, or if you work on acute"},{"speaker":"Unknown","startTime":2853.78,"endTime":2857.5,"body":"certainly stroke, you can focus"},{"speaker":"Unknown","startTime":2853.78,"endTime":2857.5,"body":"kind of what observations you"},{"speaker":"Unknown","startTime":2857.5,"endTime":2859.21,"body":"might see what kind of"},{"speaker":"Unknown","startTime":2857.5,"endTime":2859.21,"body":"swallowing problems you're going"},{"speaker":"Unknown","startTime":2859.21,"endTime":2862.36,"body":"to see, the aetiology can be"},{"speaker":"Unknown","startTime":2859.21,"endTime":2862.36,"body":"quite similar across those"},{"speaker":"Unknown","startTime":2862.36,"endTime":2865.0,"body":"patients. Whereas if you've got"},{"speaker":"Unknown","startTime":2862.36,"endTime":2865.0,"body":"somebody who's mentally fed,"},{"speaker":"Unknown","startTime":2865.24,"endTime":2867.67,"body":"that, as we know, the condition"},{"speaker":"Unknown","startTime":2865.24,"endTime":2867.67,"body":"can really vary. So you've got"},{"speaker":"Unknown","startTime":2867.67,"endTime":2871.51,"body":"to feel quite confident in each"},{"speaker":"Unknown","startTime":2867.67,"endTime":2871.51,"body":"of those conditions. There's"},{"speaker":"Unknown","startTime":2871.51,"endTime":2874.24,"body":"also a learning disability as"},{"speaker":"Unknown","startTime":2871.51,"endTime":2874.24,"body":"well. So I've got a colleague"},{"speaker":"Unknown","startTime":2874.24,"endTime":2876.43,"body":"who's dysphasia, trained to work"},{"speaker":"Unknown","startTime":2874.24,"endTime":2876.43,"body":"through learning disabilities."},{"speaker":"Unknown","startTime":2876.43,"endTime":2879.07,"body":"So again, that could be"},{"speaker":"Unknown","startTime":2876.43,"endTime":2879.07,"body":"something there. So I think it's"},{"speaker":"Unknown","startTime":2879.07,"endTime":2883.75,"body":"more around, trying to find if"},{"speaker":"Unknown","startTime":2879.07,"endTime":2883.75,"body":"there is a gap, and kind of"},{"speaker":"Unknown","startTime":2883.78,"endTime":2886.78,"body":"seen, you know, or not even a"},{"speaker":"Unknown","startTime":2883.78,"endTime":2886.78,"body":"gap, kind of how can we make"},{"speaker":"Unknown","startTime":2886.78,"endTime":2889.87,"body":"things better, this would"},{"speaker":"Unknown","startTime":2886.78,"endTime":2889.87,"body":"actually make things better in"},{"speaker":"Unknown","startTime":2889.87,"endTime":2892.24,"body":"this service for this team, I"},{"speaker":"Unknown","startTime":2889.87,"endTime":2892.24,"body":"think it's gonna be very"},{"speaker":"Unknown","startTime":2892.24,"endTime":2894.97,"body":"specific, depending on where you"},{"speaker":"Unknown","startTime":2892.24,"endTime":2894.97,"body":"work, and what kind of services"},{"speaker":"Unknown","startTime":2894.97,"endTime":2898.27,"body":"are in place. So it's definitely"},{"speaker":"Unknown","startTime":2894.97,"endTime":2898.27,"body":"worth going to speak to either"},{"speaker":"Unknown","startTime":2898.48,"endTime":2900.85,"body":"your manager or your speech"},{"speaker":"Unknown","startTime":2898.48,"endTime":2900.85,"body":"therapy team and just kind of"},{"speaker":"Unknown","startTime":2900.85,"endTime":2903.13,"body":"discuss and see if it's anything"},{"speaker":"Unknown","startTime":2900.85,"endTime":2903.13,"body":"that like you said, if there's a"},{"speaker":"Unknown","startTime":2903.13,"endTime":2905.5,"body":"gap, that would be great. But"},{"speaker":"Unknown","startTime":2903.13,"endTime":2905.5,"body":"again, even if you can improve"},{"speaker":"Unknown","startTime":2905.5,"endTime":2909.34,"body":"patient care that would, it"},{"speaker":"Unknown","startTime":2905.5,"endTime":2909.34,"body":"works both ways. Really."},{"speaker":"Aaron Boysen","startTime":2909.37,"endTime":2912.91,"body":"Yeah. So now for"},{"speaker":"Aaron Boysen","startTime":2909.37,"endTime":2912.91,"body":"some rapid fire questions. So do"},{"speaker":"Aaron Boysen","startTime":2912.91,"endTime":2916.9,"body":"you have any advice for newly"},{"speaker":"Aaron Boysen","startTime":2912.91,"endTime":2916.9,"body":"qualified dieticians starting"},{"speaker":"Aaron Boysen","startTime":2916.9,"endTime":2918.4,"body":"off just fresh in a career?"},{"speaker":"Unknown","startTime":2918.88,"endTime":2921.97,"body":"Well, I would, I would"},{"speaker":"Unknown","startTime":2918.88,"endTime":2921.97,"body":"say, always be self, find out"},{"speaker":"Unknown","startTime":2921.97,"endTime":2925.27,"body":"what you like. And obviously"},{"speaker":"Unknown","startTime":2921.97,"endTime":2925.27,"body":"that that can help on placement,"},{"speaker":"Unknown","startTime":2925.27,"endTime":2927.46,"body":"you can kind of some people"},{"speaker":"Unknown","startTime":2925.27,"endTime":2927.46,"body":"already know from placement"},{"speaker":"Unknown","startTime":2927.46,"endTime":2931.06,"body":"experience, and become confident"},{"speaker":"Unknown","startTime":2927.46,"endTime":2931.06,"body":"in what in what area you like to"},{"speaker":"Unknown","startTime":2931.06,"endTime":2933.37,"body":"work in. And then if this is"},{"speaker":"Unknown","startTime":2931.06,"endTime":2933.37,"body":"obviously a dysphasia, something"},{"speaker":"Unknown","startTime":2933.37,"endTime":2936.88,"body":"you want to go into, then you"},{"speaker":"Unknown","startTime":2933.37,"endTime":2936.88,"body":"can you can tie that in. So once"},{"speaker":"Unknown","startTime":2936.88,"endTime":2939.28,"body":"you feel happy and comfortable"},{"speaker":"Unknown","startTime":2936.88,"endTime":2939.28,"body":"in your role, it can be"},{"speaker":"Unknown","startTime":2939.28,"endTime":2942.7,"body":"something you can think of kind"},{"speaker":"Unknown","startTime":2939.28,"endTime":2942.7,"body":"of advanced practice, as well,"},{"speaker":"Unknown","startTime":2942.7,"endTime":2945.37,"body":"I'd always say, and it's not"},{"speaker":"Unknown","startTime":2942.7,"endTime":2945.37,"body":"quite related to the dysphasia."},{"speaker":"Unknown","startTime":2945.37,"endTime":2947.83,"body":"But if you feel like there's"},{"speaker":"Unknown","startTime":2945.37,"endTime":2947.83,"body":"something that's not quite"},{"speaker":"Unknown","startTime":2947.83,"endTime":2951.07,"body":"right, and you service on your"},{"speaker":"Unknown","startTime":2947.83,"endTime":2951.07,"body":"team, then please speak up. I'm"},{"speaker":"Unknown","startTime":2951.07,"endTime":2954.49,"body":"also a freedom to speak up"},{"speaker":"Unknown","startTime":2951.07,"endTime":2954.49,"body":"advocate. And there should be"},{"speaker":"Unknown","startTime":2954.49,"endTime":2958.66,"body":"one in every in every trust. So"},{"speaker":"Unknown","startTime":2954.49,"endTime":2958.66,"body":"I think that's really important"},{"speaker":"Unknown","startTime":2958.66,"endTime":2962.29,"body":"to mention, because obviously"},{"speaker":"Unknown","startTime":2958.66,"endTime":2962.29,"body":"sometimes we can work in"},{"speaker":"Unknown","startTime":2962.29,"endTime":2964.57,"body":"services and because we've"},{"speaker":"Unknown","startTime":2962.29,"endTime":2964.57,"body":"always done it that way don't"},{"speaker":"Unknown","startTime":2964.57,"endTime":2968.29,"body":"mean it's quite right. Or it's"},{"speaker":"Unknown","startTime":2964.57,"endTime":2968.29,"body":"as effective as it could be. So"},{"speaker":"Unknown","startTime":2968.29,"endTime":2972.46,"body":"yeah, always be self always"},{"speaker":"Unknown","startTime":2968.29,"endTime":2972.46,"body":"speak up and obviously, yeah."},{"speaker":"Unknown","startTime":2973.9,"endTime":2976.6,"body":"Find something that you really"},{"speaker":"Unknown","startTime":2973.9,"endTime":2976.6,"body":"like and go with it."},{"speaker":"Aaron Boysen","startTime":2976.87,"endTime":2979.81,"body":"And what is the"},{"speaker":"Aaron Boysen","startTime":2976.87,"endTime":2979.81,"body":"most challenging thing about"},{"speaker":"Aaron Boysen","startTime":2979.81,"endTime":2981.58,"body":"being a community dietitian,"},{"speaker":"Unknown","startTime":2982.0,"endTime":2985.15,"body":"I would say it's, and"},{"speaker":"Unknown","startTime":2982.0,"endTime":2985.15,"body":"I'm only comparing it to the"},{"speaker":"Unknown","startTime":2985.15,"endTime":2988.66,"body":"acute setting. I think it's the"},{"speaker":"Unknown","startTime":2985.15,"endTime":2988.66,"body":"lack of that MDT at your"},{"speaker":"Unknown","startTime":2988.66,"endTime":2992.05,"body":"fingertips. So it's much more"},{"speaker":"Unknown","startTime":2988.66,"endTime":2992.05,"body":"difficult. Obviously we've got"},{"speaker":"Unknown","startTime":2992.05,"endTime":2994.75,"body":"GPS, we've got kind of other"},{"speaker":"Unknown","startTime":2992.05,"endTime":2994.75,"body":"community staff working in"},{"speaker":"Unknown","startTime":2994.75,"endTime":2997.69,"body":"different areas to try to pull"},{"speaker":"Unknown","startTime":2994.75,"endTime":2997.69,"body":"people together and don't get me"},{"speaker":"Unknown","startTime":2997.69,"endTime":3000.27,"body":"wrong. Being virtual has helped"},{"speaker":"Unknown","startTime":2997.69,"endTime":3000.27,"body":"with that quite a lot. Because"},{"speaker":"Unknown","startTime":3000.27,"endTime":3002.76,"body":"again, you can just be available"},{"speaker":"Unknown","startTime":3000.27,"endTime":3002.76,"body":"on a teams meeting rather than"},{"speaker":"Unknown","startTime":3002.76,"endTime":3005.97,"body":"having to go somewhere. But"},{"speaker":"Unknown","startTime":3002.76,"endTime":3005.97,"body":"yeah, I would just say it's the"},{"speaker":"Unknown","startTime":3005.97,"endTime":3009.66,"body":"lack of robbing people there and"},{"speaker":"Unknown","startTime":3005.97,"endTime":3009.66,"body":"kind of knowing who to speak to."},{"speaker":"Unknown","startTime":3009.66,"endTime":3012.06,"body":"Because if you think if somebody"},{"speaker":"Unknown","startTime":3009.66,"endTime":3012.06,"body":"is in community, if they're in"},{"speaker":"Unknown","startTime":3012.06,"endTime":3014.55,"body":"one care home, they'll have one"},{"speaker":"Unknown","startTime":3012.06,"endTime":3014.55,"body":"GP, if it's another county, it's"},{"speaker":"Unknown","startTime":3014.55,"endTime":3017.64,"body":"another GP. So you have to kind"},{"speaker":"Unknown","startTime":3014.55,"endTime":3017.64,"body":"of spread yourself quite thin,"},{"speaker":"Unknown","startTime":3017.88,"endTime":3020.88,"body":"to kind of make all these"},{"speaker":"Unknown","startTime":3017.88,"endTime":3020.88,"body":"contacts and kind of network and"},{"speaker":"Unknown","startTime":3020.88,"endTime":3022.59,"body":"things like that. Whereas if"},{"speaker":"Unknown","startTime":3020.88,"endTime":3022.59,"body":"you're in a hospital, and you"},{"speaker":"Unknown","startTime":3022.59,"endTime":3024.75,"body":"work on I don't know, for"},{"speaker":"Unknown","startTime":3022.59,"endTime":3024.75,"body":"example, or spiritual Ward, you"},{"speaker":"Unknown","startTime":3024.75,"endTime":3027.78,"body":"know, who you're supposed to"},{"speaker":"Unknown","startTime":3024.75,"endTime":3027.78,"body":"team is. So it's just that"},{"speaker":"Unknown","startTime":3027.78,"endTime":3030.12,"body":"really, I would say, but it's"},{"speaker":"Unknown","startTime":3027.78,"endTime":3030.12,"body":"still interesting, because you"},{"speaker":"Unknown","startTime":3030.12,"endTime":3033.75,"body":"have to learn a lot of skills"},{"speaker":"Unknown","startTime":3030.12,"endTime":3033.75,"body":"around kind of how to speak to"},{"speaker":"Unknown","startTime":3033.75,"endTime":3036.78,"body":"the professionals, socially,"},{"speaker":"Unknown","startTime":3033.75,"endTime":3036.78,"body":"kind of things to do with"},{"speaker":"Unknown","startTime":3036.78,"endTime":3039.6,"body":"funding and carers. And it's"},{"speaker":"Unknown","startTime":3036.78,"endTime":3039.6,"body":"like a completely different"},{"speaker":"Unknown","startTime":3039.6,"endTime":3043.08,"body":"world. And it's how people live"},{"speaker":"Unknown","startTime":3039.6,"endTime":3043.08,"body":"for the rest of their lives."},{"speaker":"Unknown","startTime":3043.08,"endTime":3045.93,"body":"Whereas acute setting could"},{"speaker":"Unknown","startTime":3043.08,"endTime":3045.93,"body":"obviously be just a short period"},{"speaker":"Unknown","startTime":3045.93,"endTime":3049.98,"body":"of time. So it is a different"},{"speaker":"Unknown","startTime":3045.93,"endTime":3049.98,"body":"skill set. But it's good to have"},{"speaker":"Unknown","startTime":3049.98,"endTime":3053.4,"body":"both can your under community if"},{"speaker":"Unknown","startTime":3049.98,"endTime":3053.4,"body":"you can, if you can get that"},{"speaker":"Unknown","startTime":3053.4,"endTime":3054.09,"body":"experience."},{"speaker":"Aaron Boysen","startTime":3054.54,"endTime":3056.7,"body":"But thank you so"},{"speaker":"Aaron Boysen","startTime":3054.54,"endTime":3056.7,"body":"much for your time today. It's"},{"speaker":"Aaron Boysen","startTime":3056.7,"endTime":3059.49,"body":"been a pleasure talking to you."},{"speaker":"Aaron Boysen","startTime":3056.7,"endTime":3059.49,"body":"And I think this area is really"},{"speaker":"Aaron Boysen","startTime":3059.49,"endTime":3063.66,"body":"of interest to I mean, I've"},{"speaker":"Aaron Boysen","startTime":3059.49,"endTime":3063.66,"body":"talked about in a few areas, and"},{"speaker":"Aaron Boysen","startTime":3063.66,"endTime":3066.99,"body":"it always generates discussion."},{"speaker":"Aaron Boysen","startTime":3063.66,"endTime":3066.99,"body":"And I think it's definitely an"},{"speaker":"Aaron Boysen","startTime":3066.99,"endTime":3070.5,"body":"area where a lot of dieticians"},{"speaker":"Aaron Boysen","startTime":3066.99,"endTime":3070.5,"body":"will be keen to explore and how"},{"speaker":"Aaron Boysen","startTime":3070.5,"endTime":3073.5,"body":"they can support their patients"},{"speaker":"Aaron Boysen","startTime":3070.5,"endTime":3073.5,"body":"better. And as you said, it's"},{"speaker":"Aaron Boysen","startTime":3073.5,"endTime":3076.08,"body":"not it's not just a quick fix."},{"speaker":"Aaron Boysen","startTime":3073.5,"endTime":3076.08,"body":"And I think with a lot of these"},{"speaker":"Aaron Boysen","startTime":3076.08,"endTime":3080.28,"body":"extended roles, it's definitely"},{"speaker":"Aaron Boysen","startTime":3076.08,"endTime":3080.28,"body":"something that dieticians need"},{"speaker":"Aaron Boysen","startTime":3080.28,"endTime":3083.55,"body":"to dedicate a lot of time not"},{"speaker":"Aaron Boysen","startTime":3080.28,"endTime":3083.55,"body":"just to learn the skill and do"},{"speaker":"Aaron Boysen","startTime":3084.03,"endTime":3088.53,"body":"the proper competencies, but"},{"speaker":"Aaron Boysen","startTime":3084.03,"endTime":3088.53,"body":"also develop the experience and"},{"speaker":"Aaron Boysen","startTime":3088.53,"endTime":3091.35,"body":"the knowledge to be able to do"},{"speaker":"Aaron Boysen","startTime":3088.53,"endTime":3091.35,"body":"it effectively. And well, for"},{"speaker":"Aaron Boysen","startTime":3091.35,"endTime":3095.25,"body":"sure. So I think all of them,"},{"speaker":"Aaron Boysen","startTime":3091.35,"endTime":3095.25,"body":"whether it be things like knees,"},{"speaker":"Aaron Boysen","startTime":3095.25,"endTime":3098.4,"body":"or gastric feed placement, or"},{"speaker":"Aaron Boysen","startTime":3095.25,"endTime":3098.4,"body":"even, as I've discussed on"},{"speaker":"Aaron Boysen","startTime":3098.4,"endTime":3100.8,"body":"previous podcast,"},{"speaker":"Aaron Boysen","startTime":3098.4,"endTime":3100.8,"body":"recommendations around physical"},{"speaker":"Aaron Boysen","startTime":3100.8,"endTime":3103.74,"body":"activity and things like that,"},{"speaker":"Aaron Boysen","startTime":3100.8,"endTime":3103.74,"body":"your requires experience"},{"speaker":"Aaron Boysen","startTime":3103.74,"endTime":3107.4,"body":"implementation, and practice to"},{"speaker":"Aaron Boysen","startTime":3103.74,"endTime":3107.4,"body":"be able to become better at it,"},{"speaker":"Unknown","startTime":3107.58,"endTime":3109.38,"body":"of course, and if"},{"speaker":"Unknown","startTime":3107.58,"endTime":3109.38,"body":"anybody who is listening, just"},{"speaker":"Unknown","startTime":3109.38,"endTime":3111.51,"body":"want to get in touch and wants"},{"speaker":"Unknown","startTime":3109.38,"endTime":3111.51,"body":"to know bit more, I'm more than"},{"speaker":"Unknown","startTime":3111.51,"endTime":3116.07,"body":"happy to be emailed or to have a"},{"speaker":"Unknown","startTime":3111.51,"endTime":3116.07,"body":"phone call or whatever. Like I"},{"speaker":"Unknown","startTime":3116.07,"endTime":3117.54,"body":"said it's just getting out there"},{"speaker":"Unknown","startTime":3116.07,"endTime":3117.54,"body":"into"},{"speaker":"Aaron Boysen","startTime":3118.17,"endTime":3121.62,"body":"and the details"},{"speaker":"Aaron Boysen","startTime":3118.17,"endTime":3121.62,"body":"for Laura's Twitter handle will"},{"speaker":"Aaron Boysen","startTime":3121.62,"endTime":3124.5,"body":"be in the show notes. If"},{"speaker":"Aaron Boysen","startTime":3121.62,"endTime":3124.5,"body":"anyone's interested in getting"},{"speaker":"Aaron Boysen","startTime":3124.5,"endTime":3126.93,"body":"in contact with it. I think"},{"speaker":"Aaron Boysen","startTime":3124.5,"endTime":3126.93,"body":"that's probably the best way to"},{"speaker":"Aaron Boysen","startTime":3126.93,"endTime":3128.13,"body":"get in contact with you or"},{"speaker":"Unknown","startTime":3128.19,"endTime":3130.47,"body":"Yeah, Yeah, that'll be"},{"speaker":"Unknown","startTime":3128.19,"endTime":3130.47,"body":"fun. Yeah, that'd be great."},{"speaker":"Aaron Boysen","startTime":3130.5,"endTime":3134.52,"body":"Thank you very"},{"speaker":"Aaron Boysen","startTime":3130.5,"endTime":3134.52,"body":"much. Thank you. Thank you for"},{"speaker":"Aaron Boysen","startTime":3134.52,"endTime":3138.72,"body":"joining us for this episode of"},{"speaker":"Aaron Boysen","startTime":3134.52,"endTime":3138.72,"body":"The dietetics digest podcast. To"},{"speaker":"Aaron Boysen","startTime":3138.72,"endTime":3141.69,"body":"share your thoughts in today's"},{"speaker":"Aaron Boysen","startTime":3138.72,"endTime":3141.69,"body":"episode, please visit our social"},{"speaker":"Aaron Boysen","startTime":3141.69,"endTime":3145.38,"body":"media. Our main channels are"},{"speaker":"Aaron Boysen","startTime":3141.69,"endTime":3145.38,"body":"Instagram and Twitter. Also, if"},{"speaker":"Aaron Boysen","startTime":3145.38,"endTime":3148.2,"body":"you enjoyed the podcast, why not"},{"speaker":"Aaron Boysen","startTime":3145.38,"endTime":3148.2,"body":"leave us a review on Apple"},{"speaker":"Aaron Boysen","startTime":3148.2,"endTime":3151.5,"body":"podcasts or a podcast host of"},{"speaker":"Aaron Boysen","startTime":3148.2,"endTime":3151.5,"body":"your choice or consider telling"},{"speaker":"Aaron Boysen","startTime":3151.5,"endTime":3154.47,"body":"a friend about the podcast."},{"speaker":"Aaron Boysen","startTime":3151.5,"endTime":3154.47,"body":"Finally, make sure that you"},{"speaker":"Aaron Boysen","startTime":3154.47,"endTime":3157.65,"body":"subscribe and follow the podcast"},{"speaker":"Aaron Boysen","startTime":3154.47,"endTime":3157.65,"body":"so that you can stay up to date"},{"speaker":"Aaron Boysen","startTime":3157.65,"endTime":3159.03,"body":"with our latest episodes."}]}