Yep, it's good 'ol Valentine's Day. And I must say...mine was wonderful.
Starting every new rotation as a dietetic intern is an interesting experience. Most of the time, I'm meeting my preceptor for the first time. Their note-writing format is unfamiliar, their patient base is unfamiliar, and the need to make a good first impression is key. Needless to say, my preceptor this week is amazing. She's very laid back but incredibly intelligent. Forgot to mention - I'm back in pediatrics, which makes this week even better. But, my preceptor is mainly in charge of patients who are newly diagnosed diabetics, liver transplants, and eating disorders. Today we only had 2 patients to go and see. One who was leaving today, and another, who I ended up choosing as my oral case study subject.
The oral case study is a huge presentation that every intern has to complete solo. It's a 35-45 minute presentation covering a specific patient that we personally deal with and follow, covering bases of disease state, history, treatment, outcome, prognosis, etc. The patient I chose is under 5 years old, just received a liver transplant because of a rare genetic disease known as argininosuccinic aciduria. It's a disorder that leaves out an important component in one of the metabolic processes, causing an increase of ammonia in the blood. The high levels of ammonia in the blood causes developmental delays, sometimes even death if it's not caught early.
The only thing that could ruin this day? My car. The fact that this car is 2,948 years old and it's been a crazy winter aren't helping the fact that my car needs to make it through 5 more months, at least. GRR. Anyone have a nice, smooth-running car they wanna donate to my cause? That would be wonderrrrfullllll...
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