Saving obesity everyday
I enjoyed my cardiovascular rotations more than I thought I would. This rotations gave me good practice giving education and allowed me to attempt using motivational interviewing. The patients I saw were mainly morbidly obese with a BMI over 45. I saw one with a BMI of 59 - the highest I've ever seen since I began my internship. In a day, I saw three people who were consulted for high BMI and gave similar education on weight loss.
For my last day of CV, I saw a diabetic patient who was consulted for diabetes education. He had a hemoglobin A1C (a test for long term blood sugar control) of 11 (aiming for less than 6.5 for diabetes), and a glucose level of 600 mg/dL (normal is 70-130 mg/dL for diabetics). Talked to him, I found out that he had been drinking gallons of pop (not sugar free) and juices, and minimal water. He tried finding substitutes, but found Koolaid, which is not sugar-free drink, so that was not helpful because mainly he did not know the choices out there and did not know that even "less" sugar do not help with the situation. In our heads, we know that cutting out those drinks would help so much... and he was very young. We gave him information that hopefully will help him, but we have no ways to know if he would do it or not. But trying to motivational interview him, he seems to have a motivation to change his habits, and that is important.
This rotations allowed me to assess the diet and kcal and protein needs for patient because I did not really pay attention to that in the past rotations. However, this rotation sometimes I missed the big picture with looking at labs in order to assess the appropriateness of the diet. Always need to keep that in mind.
Oh, and during my rotation, my preceptor suddenly laughed, and I was puzzled.
She said, "I was just laughing at you. Candy, why are you so smiley all the time?"
I shrugged.
She said, "No, it's a good thing. It is really contagious and makes me happy too."
I'm glad.
For my last day of CV, I saw a diabetic patient who was consulted for diabetes education. He had a hemoglobin A1C (a test for long term blood sugar control) of 11 (aiming for less than 6.5 for diabetes), and a glucose level of 600 mg/dL (normal is 70-130 mg/dL for diabetics). Talked to him, I found out that he had been drinking gallons of pop (not sugar free) and juices, and minimal water. He tried finding substitutes, but found Koolaid, which is not sugar-free drink, so that was not helpful because mainly he did not know the choices out there and did not know that even "less" sugar do not help with the situation. In our heads, we know that cutting out those drinks would help so much... and he was very young. We gave him information that hopefully will help him, but we have no ways to know if he would do it or not. But trying to motivational interview him, he seems to have a motivation to change his habits, and that is important.
This rotations allowed me to assess the diet and kcal and protein needs for patient because I did not really pay attention to that in the past rotations. However, this rotation sometimes I missed the big picture with looking at labs in order to assess the appropriateness of the diet. Always need to keep that in mind.
Oh, and during my rotation, my preceptor suddenly laughed, and I was puzzled.
She said, "I was just laughing at you. Candy, why are you so smiley all the time?"
I shrugged.
She said, "No, it's a good thing. It is really contagious and makes me happy too."
I'm glad.
Comments
Post a Comment