When I was in for my previous exacerbation related to pneumonia and sepsis, since Baystate allows you to order your meals through a program they use called Room Service Meals, I was having them pile on the food using the doctors order for double portions. When I was transferred to Kindred Park View (I STILL hate how things are run there), I was able to get the increased calorie + double portion diet in order for 95% of the time, only after they resisted at first, but towards the end of my visit, they were not sending up my snacks or sending up my snack orders but only partially (missing Glucerna every time), and even the meals had things missing sometimes (Ensure Plus missing) and to top it off, when they transferred me from one floor to another, they succeeded in losing that days dinner completely (sent up on wrong food truck, no notification that it was there). I had to speak to the kitchen supervisor(s) and even manager on a number of occasions, but I still somehow managed in the 18 days I was in the rehab facility (KPV) to go from 108 to 135 pounds.