Member Council  :: Spotlight on CDA Men
   

 

 

Winter / Spring 2010

Orville E. Bigelow, MS, RD
Orville E. Bigelow, MS, RD
Manager of Nutrition/Instructor
Art Kress, MS, RD, LDN
Art Kress, MS, RD, LDN
Outpatient Dietitian
Peter Mak, RD
Peter Mak, RD
Ambulatory Care Dietitian

Fall 2009

Christopher Lauderdale, MS, RD
Christopher Lauderdale, MS, RD
Clinical Dietitian
Aaron Flores, RD
Aaron Flores, RD
Clinical Dietitian
Chad Edwards, MS, RD
Chad Edwards, MS, RD

Clinical Nutrition Supervisor
Orville E. Bigelow, MS, RD Orville E. Bigelow, MS, RD
Manager of Nutrition/Instructor
MC: What is your area of practice, i.e. specialty area?
Bigelow: I would say that my specialty is nutrition education; however like many dietitians, ‘general nutrition’ might be more appropriate!  In my job at Project Angel Food our clients face many diseases and conditions which I need to be able to address while counseling them.  I also help in the menu planning of special diets and outreach (to assist other organizations who don’t have a dietitian on staff).  So as you can see I need to have skills in many areas.  I would say that I have to be a ‘jack of all trades’!
MC: What do you like best about what you do professionally?  Please share some of your responsibilities.
Bigelow
: I do several things which I enjoy.  My ‘day job’ is as the Manager of Nutrition Services for Project Angel Food (www.angelfood.org).  I love this job because we help to nourish people facing life threatening conditions and really help make a difference in their life.  It is very rewarding.  As Manager of Nutrition Services I oversee a small staff of dietitians and interns.  My department is responsible for counseling clients who are on service with us; overseeing kitchen inspections to ensure the food we serve is safe; implementing worksite wellness efforts; educating our staff and clients on nutrition topics; and ensuring that our meals satisfy special dietary needs.  I also teach part time.  I teach both in-person and online classes for California State University, Los Angeles and Mohave Community College in Arizona.  Helping students understand the basic concepts of nutrition is very rewarding but helping them out when they have questions regarding school, internships and job prospects is equally satisfying!
MC: Please share your most unusual day or any challenges you have had on the job?
Bigelow: The challenge that sticks out the most is when I have had to give presentations and something occurs that prevents me from giving the presentation I had originally planned for!  I can’t tell you how many times there has been something wrong with the audio visual equipment, or the time I was allotted was changed, etc.  You must be ready for anything when giving presentations.  Always expect the unexpected!
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Bigelow:
  With how quickly things change trying to predict what dietetics will be like in 10 years is almost impossible!  I will say that in the next few years the internet and more specifically social networking will play a major role in many areas of our field.  I would say that to be competitive, a person will need to adapt to these changes easily.  On another note, I think that in 10 years we will be facing a whole new set of problems.  Though obesity and some of the chronic diseases will still probably play a major role in dietetics, with the advances we are seeing in the world of medicine diseases like HIV and diabetes may not.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Bigelow: a. Adapt easily.  Be open to learn new skills.  Adjust to new situations and new surroundings with ease and don’t hold on to the old if it is no longer useful; b. Learn to listen.  If you listen to what people have to say then you can address their issue/problem more effectively.  Don’t go into a situation thinking that you know what is best.  Wait to hear a person out first, and then address the issue/problem.  This applies to almost every situation but especially counseling clients!; c. And most importantly, network!  Connecting with other dietitians, diet techs, doctors, etc… will help you build a network of resources that will benefit you career in so many ways!  By yourself you are limited; with friends/contacts your possibilities are endless!
MC: How has CDA membership helped your career professionally and personally?
Bigelow:  Being a member of CDA has helped me tremendously.  Not only do the benefits come in handy (CPEs, job board, resources, etc…) but by being a member I have been able to network with others in my field which has helped me tremendously!  As I have previously stated, networking is truly the key to success.  Networking with other members has not only helped me, but has helped others I know as well.  I can’t tell you the number of times that a student or an intern has asked me to help them find a place to volunteer; a site for an internship rotation; a job; or someone to talk to from a particular field, etc… and without being connected to other CDA members, I wouldn’t have had the connections to make that happen!



Art Kress, MS, RD, LDN Art Kress, MS, RD, LDN
Outpatient Dietitian
MC: What is your background? What brought you to dietetics?
Kress: About ten years ago, I retired as an engineering manager.  My goal then was to do something totally different and perhaps help others in the process.  So I returned to school for a master’s degree in nutrition.  After completing an internship at the VA, I began my career there as an outpatient dietitian.  And this led to a job as coordinator of a grant project to develop a diabetes prevention program for American Indian/Alaska Native veterans.  It gave me the opportunity to create a series of four DVDs designed to train-the-trainers in diabetes prevention and a chance to direct the effort out of the VA’s studio in St. Louis.  Subsequently, I developed an 8-hour assertiveness training course for the VA and taught it to a group of dietetic interns.  My current job at the Motion Picture & TV Fund followed as did my election as Co-President Elect of LAD.  My greatest desire now is to effectively promote RDs as the TRUE nutrition professionals.
MC: What is your area of practice, i.e. specialty area?
Kress: I’m currently providing nutrition support at five outpatient clinics associated with the Motion Picture & TV Fund (MPTF). My specialty is diabetes, but also includes the associated conditions of obesity, hyperlipidemia, hypertension, and cardiovascular disease.
MC: What do you like best about what you do professionally?  Please share some of your responsibilities.
Kress: Mostly, I enjoy working with patients to resolve or assist in resolving their health issues.  My responsibility at MPTF is to interview, assess, and treat patients and document the process.  Group training would be ideal here, since many of the clinics I support have a waiting list.  Unfortunately, MPTF can’t seem to adjust their billing process to cover this, so that list just continues to grow.
MC: Please share your most unusual day or any challenges you have had on the job?
Kress:
  I can’t point to an unusual day, but my greatest challenge is working with patients that have problems beyond my expertise, i.e. G-tube issues, fibromyalgia, kidney disease, Crohn’s, pregnancy.  If I’m lucky, I can monitor my schedule in advance and prepare for these problems.  But often a reason for the consult is not given so I have no advance visibility.  In these cases, I deal with what I can, and then research the issue and email the patient later.  It’s sometimes frustrating, but often rewarding as it provides an opportunity to increase my knowledge.
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Kress: The most significant change, I believe, is a revolution in how nutrition care will be provided.  As nutrigenomics becomes increasingly predictive, I suspect that one day soon, we’ll each have a unique genetic prescription to define what nutrition and lifestyle support is required for optimum health.  Coupled with this will be a rapid increase in longevity and a great improvement in the quality of life.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Kress:  Aside from the basic idea of liking what you do, I would say that the most significant thing, and perhaps the hardest for some to understand, is to be assertive.  If you want to be treated as a professional, it’s important to act and dress professionally, and actively work to make change happen...especially when it comes to the public perception of RDs.  Why is this important?  Well, many dietitians don’t seem to understand that the way they are perceived by the public affects their status in society and their ability to command respect.  Many think it’s ADA’s job to deal with these issues, and we should not interfere. But to the contrary, you MUST interfere.  If you don’t, it’s the nutritionist who will continue to be seen by much of the public as the nutrition professional.  When I first became an RD, I found a significant problem with the credentialing process and approached CDR about changing it.  Sure I got some negativity at first, but I eventually got to the President and convinced her that change was needed.  But it’s not so much my action here that’s important.  It’s what happened after I asked the President if anyone else had called about the problem.  And her answer was no.  So why is that?  Why did this problem exist long before I became an RD and no one else objected? Was it a lack of assertiveness?  Perhaps.  But whatever it was, recognize that you may be the problem and the solution at the same time. You need to look for ways to improve the profession and help promote RDs as THE nutrition professionals. And you have more power to do that than you might imagine.
MC: How has CDA membership helped your career professionally and personally?
Kress:  My primary interaction with CDA has been through the Los Angeles District Association.  It provided me with a wonderful opportunity to meet new people, make friends, do some networking, and begin the process of doing what I can to strengthen the profession.
MC: What are your interests?  Other organizations?
Kress: I basically see myself as a Renaissance guy...with way too many interests.  Over the years, I have worked in professional theatre, as a published photographer, and as a registered hypnotherapist. I was a Big Brother for 12 years, matched with a little sister shortly after her sixth birthday.  I created and taught numerous courses on subjects such as proposal estimating, metrics, process flow charting, and budgeting and developed computer programs to help facilitate my various jobs, including the current one.  I also served as technical consultant to an international magazine and a volunteer with a suicide prevention center.  I love reading, theatre, film, opera, and concerts.  Other than CDA/LAD, I am a member of the American Dietetic Association, the American Association of Diabetic Educators and the American Academy of Television Arts & Sciences (now where did that come from?).  A dream I still hold is to produce a play on Broadway. So maybe next year... 



Peter Mak, RD Peter Mak, RD
Ambulatory Care Dietitian, San Francisco Veterans Affairs Medical Center
MC: What is your area of practice, i.e. specialty area?
Mak:
I work in the outpatient setting at the San Francisco Veterans Affairs Medical Center. Clinics include: hematology/oncology, morbid obesity/surgery, home-based primary care and the SFVA downtown clinic.
MC: What do you like best about what you do professionally? Please share some of your responsibilities.
Mak
: I think that it is awesome that I get to work with several multidisciplinary teams to best help our Veterans and their families. A sense of honor and pride overcomes me every day as I walk into work, knowing that I have the opportunity to help promote good nutrition/health! I provide general classes such as healthy eating; one-on-one sessions for various medical problems; home-enteral-nutrition/tube feeding for head-and-neck cancer patients seeking aggressive modalities of treatment (chemoradiation) and some home-visits for a population of Veterans who would benefit from primary care in a home-care setting.
MC: Please share your most unusual day or any challenges you have had on the job?
Mak: Challenges – some people are not ready in the behavioral-cognitive model (stage of change), financial/housing instability, home environment and other underlying psychological and medical problems are barriers to progress.  It is also hard to give 200% to each clinic – I wish to do a superb job in each area, but limited hours limit what I can do.
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Mak:
 The increasing population of retiring Veterans and family members, combined with medical/technological advances prolonging life, requiring more support and funding.  I think that nutrition-related diseases would increase the demand for resources such as time, personnel/practitioners.  Besides retiring service members pre-September-11, we have a brand-new generation of patriots from our most recent War on Terrorism.  Nutrition outreach to advocate preventative maintenance and early intervention is crucial to minimize health risks later on.  Instead of reacting to problems, more proactive methods of approach should be emphasized. We do have great programs currently and the changes are occurring as you read this.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Mak: Turn each situation into an opportunity and be adaptable to changes. Maintain a positive mental attitude in the rain or shine, show pride for your profession and make yourself an asset to those around you!
MC: How has CDA membership helped your career professionally and personally?
Mak: CDA helped me stay in touch with friends and personnel in different specialties, kept me “in the loop” with current events in dietetics/nutrition at the local and at the national level.  I have the opportunity to join professional groups within the organization for higher learning and specialty credentials. 

Christopher Lauderdale, MS, RD Christopher Lauderdale, MS, RD
Clinical Dietitian
MC: What is your area of practice, i.e. specialty area?
Lauderdale: Now, it's clinical dietetics.  I've had the good fortune of having worked in many areas of nutrition; public health, corporate recipe development, university lecturer, chef/instructor at two culinary schools.
MC: What do you like best about what you do professionally? Please share some of your responsibilities.
Lauderdale: I've always loved teaching, especially hands-on cooking and food science demonstrations.  Teachers have to be life-long learners.  Now I'm at a teaching hospital and work closely with medical residents and dietetic interns.  I learn something new every day that I can pass along to my students.
MC: Please share your most unusual day or any challenges you have had on the job?
LauderdaleI was asked to do a presentation on "Edible Insects" for my daughter's 3rd grade class, with recipes, nutrition information, and a cooking demo.  Word got around, and I've since given the presentation at numerous colleges and speaking engagements.
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Lauderdale:
  I see a growing recognition among young MDs that nutrition is an area of specialization that goes beyond their training, and an increased reliance on us to provide essential support to the healing process.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Lauderdale:  Stay curious.  Look for connections between what you're learning now and what you've previously learned.  Every time I think I've got a handle on "the big picture", something new comes along that I have to integrate, and my whole view of nutrition changes.
MC: How has CDA membership helped your career professionally and personally?
Lauderdale:  Everyone has their own area of interest and expertise, and we're a small community.  I frequently get calls from other RDs looking for a guest speaker or consultant, and I often refer patients and students to RDs I've met who specialize in other areas.

Aaron Flores, RD Aaron Flores, RD
Clinical Dietitian
MC: What is your area of practice, i.e. specialty area?
Flores: My focus is in outpatient counseling. Specifically, I am involved with the VA's MOVE Weight Management program. I teach and counsel Veterans on healthy strategies for weight loss. I also coordinate an employee wellness program that helps VA employees learn how to manage their weight.
MC: What do you like best about what you do professionally? Please share some of your responsibilities.
Flores:
My responsibilities on a daily basis are first and foremost direct patient care which also includes time for documentation. I spend most of my time teaching weight management classes to a variety of Veteran populations. I also do some individual counseling, but I mostly focus on group classes. Another large part of my job is planning and organizing our MOVEmployee program. The third component of my job is working with our dietetic interns. The best part of my job is the fact that I get to teach both Veterans and future dietitians. I find that my best days are when I've had a great teaching experience. There was a moment when someone had an "aha" moment and realizes that really can make changes to lose weight or when and intern improves their counseling skills after a discussion we had.
MC: Please share your most unusual day or any challenges you have had on the job?
FloresWell working with Veterans, there is never a dull moment, and it's why I love working at the VA. The experiences that stick out the most with me are the moments of demystifying a healthy diet. At least once a week I get a question about some new fad diet, weight loss pill or crazy idea to lose weight. My greatest challenge is trying to re-direct their focus to healthy eating while also validating their desire to lose weight. What makes my job so unique is the fact that almost every Veteran comes to see me with some underlying issue that has affected their weight. For some it might be PTSD, for others it might be a mental health diagnosis and they are on medications whose side-effects include weight gain, and yet for many there are other social issues that make my job jus that more difficult. I have learned that to be effective with these individuals, you must really listen, empathize and make them feel like you are a partner in their goals. Only then will they really listen to you and be willing to make changes.
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Flores:
  In the next 10 years I feel like one big change will be working with those Veterans with mental health diagnosis. As more and more Veterans return from combat we are realizing how their mental status not only affects their social health, but also influences their ability to choose healthy foods. Because more and more Veterans are being treated with medications which cause weight gain and lead to the metabolic syndrome, more and more dietitians will be asked to work with others who treat the mentally ill to educate Veterans on healthy eating.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Flores:  I talk to a lot of Los Angeles-based students and interns through my work at the VA. I understand that there are more and more students who are interested in our field and that dietetic internships are harder and harder to come by. Because things have become so competitive, each student must stand out to internship directors to even be considered for an internship, especially in the Los Angeles area. My advice would be to have a very candid discussion with your DPD director. Talk about your long-term goals and how you see yourself fitting into the professional field and talk about if this field is really right for you. If you think this is the career for you, then understand how competitive the field is becoming and be willing to do everything within your means to become an excellent candidate for internships. Find a mentor and use that person for guidance. Having advocates who believe in your skills is essential for promoting you to other professionals but also to help motivate you stay on your career path. It is a difficult journey, but one that will be rewarding beyond belief if you choose to become an RD. Recently at lunch some colleagues and I were discussing what was that moment at work that keeps us going and what is most rewarding at work. My answer was seeing someone who has tried to lose weight in the past, been unsuccessful and they feel like they will never be healthy finally decide that they have the ability to change their life. I love that moment of seeing their face light up when they realize that one simple change in their diet can make a difference and knowing that they really do have the power to improve their health. That moment keeps me motivated to help others.
MC: How has CDA membership helped your career professionally and personally?
Flores:  CDA has helped me by being an advocate for RDs in the profession. I appreciate how CDA fights for issues that are important to the profession and try to promote RDs as the nutrition experts for the public.



Chad Edwards, MS, RD Chad Edwards, MS, RD
Clinical Nutrition Supervisor
MC: What is your area of practice, i.e. specialty area?
Edwards: Clinical Nutrition...ICU/critical care, general med/surg
MC: What do you like best about what you do professionally? Please share some of your responsibilities.
Edwards: Having a direct effect on a patient's overall health and outcome.  Responsibilities include: clinical assessment/recommendations, participation in ICU rounds (interdisciplinary), policy development/revision, patient education.
MC: Please share your most unusual day or any challenges you have had on the job?
Edwards:  The most challenging thing (at times) is getting doctors to accept new nutrition recommendations/theories.
MC: What changes do you predict in your area of dietetic practice in the next 10 years?
Edwards:
  Hopefully, there will be an increase in physician receptiveness to diet and exercise and proper nutrition support initiation.  I would also like to see more insurance coverage for MNT, both in amount of reimbursement and overall number of disease states that are covered.
MC: What advice or words of wisdom do you have for dietetic students or new dietitians?
Edwards:  Although I have been a clinical dietitian for almost 10 years, there are many avenues for an RD to be employed...with the prevalence of obesity, cardiac disease and diabetes, the RD will continue to be an integral part of these conditions.
MC: How has CDA membership helped your career professionally and personally?
Edwards:  Being a member of CDA has allowed me to understand the inner-workings of promoting the dietetics field.  By being the president-elect of NADA, I hope to be able to use this information to further the public's understanding of what RDs do as well as opening new awareness of employment for dietetics professinals.
 
       
   

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