steve
Region: US
Friday 28 August 2026 21:04:46 GMT
177382
11055
125
89
Music
Download
Comments
lisa :
(Inpatient RD here) VERY glad you’re getting admitted as they start TPN. Given how little you’ve been eating + weight loss, definitely concerned for refeeding risk and it’s beet for you to have your electrolytes checked closely and replaced as needed. Make sure to ask the RD that sees you when you’re admitted all the questions you have 🫶🏻
2026-08-28 21:35:35
844
Herbal Leen :
Your poor guts 😥 I worry about them overprescribing antibiotics. They should be testing for SIBO to see if it’s actually there, though I understand the precaution. Sending you lots of love.
2026-08-28 21:38:01
183
Ellie Holzapfel🍉 :
You and Spencer are such good advocates for you and your health. Grateful for you being willing to share your journey like this 💕
2026-08-28 22:27:28
76
Heather Brackman :
I dose TPNs in the hospital. Usually we keep patients for 4-5 days to slowly citrate up and balance electrolytes. Every hospital is different but it will likely take more than a day or two.
2026-08-29 00:30:04
136
riss :
i LOVE hearing him explain refeeding as a dietitian, it is so important to understand and monitor for.
2026-08-28 21:45:06
372
retr0_echo :
Asking questions is how you really find out if a doctor actually cares about their work or if they’re just going through the motions.
2026-08-28 22:16:01
165
Ryan :
Your wife is a queen advocate and I wish the absolute best for you 🥰
2026-09-02 20:21:43
6
Rachel Moore :
As an oncology registered dietitian with a certified nutrition support specialist (CNSC) certification, it’s interesting that working with a dietitian wasn’t brought up in this conversation! Dietitians provide guidance on improving nutrition and managing side effects of cancer treatment. We also often provide recommendations on refeeding risk and TPN management to help guide these decisions. We are also your nutrition advocate on your medical team! Consider asking your medical team if there is an option to start working with a dietitian on a regular basis. 🫶
2026-08-29 01:44:58
56
black_widow2015 :
So glad you both were there because it seemed like he was moving towards just starting the antibiotics and wait and see. Thank you Spencer for really being an such an amazing advocate.
2026-08-28 21:53:33
63
Ariyel :
I think the antibiotics for sibo and starting TPN is going to help you immensely! Sending lots of love and light your way! 🩷
2026-08-28 21:38:22
64
Amanda :
I’m not sure how far down ur intestinal issues are. I’m wondering if a j-tube or a feeding tube that goes into ur intestines is an option
2026-08-28 23:32:43
6
Ashley Lamb :
TPN saved my life. It’s not ideal but it’s there for a reason! Good luck 🤍
2026-08-28 22:07:01
66
LJ :
I’ve got SIBO and it’s awful!!!
2026-09-06 06:30:34
1
erin | maryville esthetician🤎 :
i LOVE how she advocates so hard for you, i truly hope you feel better 🫶🏻
2026-08-29 05:58:57
18
ging :
It shouldn’t be this hard to get on TPN 😭 it’s shocking how against it all the doctors are. Sure it has risks just like anything else but in your case (& a lot of other peoples case) the benefits far outweigh the risks. Sooo many cancer patients suffer & die from malnutrition rather than their cancer itself bc nutrition is so often put on the back burner. TPN can save your life!!! Xo an oncology dietitian
2026-08-29 15:12:10
6
EJ :
Im on a feeding tube and super restricted with liquids and I never recovered and have been thinking of you
2026-09-06 18:01:19
1
Deej12 :
I wish this doctor could clone himself!
2026-08-28 22:01:47
33
Skylar :
Thank you for sharing these consults. I want to be a doctor one day and I find these super interesting and informative. Hope the TPN helps!!
2026-08-28 21:41:25
20
amesodo :
RD here - I’ve had patients walk into Emergency will plan to start tpn and get turned away. It’s been so hard to find doctors willing to direct admit when it’s really needed…so what a great game plan!! Rooting for you!
2026-08-29 01:57:32
9
Heather Brackman :
Also dont know where youre flying to but TPNs are only stable for 3 days after they're made so if youre going on a long trip it may be challenging.
2026-08-29 00:34:08
5
Cee cee :
he sounds like a millennial doctor!!
2026-08-28 23:30:21
25
Adventures through my eyes :
So glad he agreed at the start he didn’t seem too keen 🥰
2026-08-28 21:34:51
24
sbeart :
Not all doctors like questions. When my daughter was in the hospital with RSV we asked tons of questions and seemingly pissed off some doctors… all but one attending who was so patient and respectful with us. I don’t know how that all would have ended up if it wasn’t for her buffering for us.
2026-08-28 22:33:49
40
gigi788900 :
What a great doctor 🥰
2026-08-28 21:44:29
25
Kim | mom of 4 | medical mom :
Traveling with TPN is also something you will need to coordinate with your home health pharmacy. It has to stay refrigerated and you’ll be setting it up daily. So all things to learn and consider while inpatient before you go out of town. Here if you have any questions with TPN or even SIBO.
2026-08-28 22:56:22
10
To see more videos from user @stevekopacz, please go to the Tikwm
homepage.
