So I know I haven't written much since the "huge" snowstorm last week, but since many of the dietitians couldn't come to work, we had a lot of catching up to do on Thursday and Friday. But, I can't say there was much to note that I hadn't already. I did some bariatric diet educations and wrote notes, but I did come across a few interesting disease states. Search "Mullerian agenesis." Crazy.

But surprisingly, I really enjoyed GI surgery. I could definitely see myself working in this area. It just seems as though there is such amazing variety of patients and disease states. Not to mention, for those who undergo bariatric surgery and I have to do a follow-up diet education, those patients want to be there. They are so optimistic and excited to be receiving education. 

Anywho, this week is my last week with adults. I am in the area of adult cardiology. Today I had a great variety of patients, nothing too crazy or out-of-the-ordinary. I wrote two notes by myself, one on a patient who was in the ICU and on a ventilator. If a patient is on a ventilator, it completely changes what caloric predictive equation is used and there are many things that have to be taken into consideration, such as infection, fluid status, and medications. That's a big thing with this cardiac population is fluid levels. It seems as though, if I do educations, a lot of it will be on cardiac diets and low-sodium diets.

We did meet with a very cute elderly man who was very interested in our low sodium diet education. He had such good intentions to transform his lifestyle and while we were there he was making lists. This is the part I'm going to miss about being in adults, is talking to the patient directly and doing the educations with them versus the patients. But don't get me wrong, I'm super excited to get back to pediatrics. After this week, it will be kids here on out! YAY!