u/Individual-Glass7197

Hi, looking for some help/advice regarding ED consults.

I run a 1/week community clinic that is attached to a hospital focusing on ED caseload. I'm the only dietitian so theres nobody to discuss clients with except the psychiatrist and psychologists.

I recently got feedback from a GP that a patient (now discharged due to going private) stated my clinic was very unhelpful and she didn't want to see me anymore.

The main reasons being: I didn't set goals with her, I "told her to eat more" and didn't immediately book a follow up appointment.

I'm feeling quite frustrated with this because I looked at the consult notes and with this client:

1. Suggested her long term goal is eat enough to avoid hospitalization, because she couldn't come up with her own goal when asked what she wants to get out of the appointment.
2. Suggested she splits her dinner meal (which was a large portion due to restricting all day) into 2 meals to better manage the subsequent feeling of sickness and resist urges to purge.
3. Have a cup of oat milk when she wakes up. (Basically the very bare bones of step R of RAVES)

She agreed to these goals before leaving the session.

I'm stuck feeling like her feedback was not true at all and I've now got this GP who thinks I suck?? I didn't make a goal about her eating more, it was just redistribution of her meal times. And the plan was that if she didn't manage that, to look at it at a subsequent appointment and figure out why it didn't work and how to overcome it/make it manageable. (No subsequent appointment happened as she ignored all my calls to book one).

Does anyone have feedback as to whether the goals actually suck and I need to get better, or if its more she's just really mentally unwell and wasn't going to engage anyway?

Hey all, just want to get some clarity on my situation as I'm confusing myself the more I try and read into it.

My (31F, Aus citizen) long distance boyfriend (30,M, US citizen) wants to close the gap but are trying to find what pathways we have to get him here. We've been dating for two years online and have met in person 3 times - once me visiting him in USA, once him visiting Aus, and one time us meeting in between in Taiwan.

Being over 30 the whv isnt an option. Partner visa isn't an option because we haven't lived together for 12 months, since we are in different countries. A work sponsorship isn't possible because he works in unskilled labour. I'm a bit hesitant to jump into the PMV since we haven't lived together yet and it's a big step.

So given all that, I am wondering whether him coming to Australia on a 500 is possible? He would pick a course he's interested in (he's self funding) and genuinely intend to work in the field after he's completed it. But I am wondering whether the gov will look at the application and reject it because it will appear as using the 500 with the intention of gaining residency etc.

And if it's not possible, then I guess congrats to my marriage?

Cheers in advance!