Not so much.

I'm ready for this week to be over.


Yesterday I worked with another RD who does general nutrition counseling as well as works in the ALS clinic. This was definitely an interesting population with varying degrees of illness. We had some patients who you'd never know they had a degenerative disease that is eventually fatal, while others were no longer verbal, on ventilators, and completely dependent on others. The RD's role in this population is to make sure they don't lose weight, especially when their intake starts to decrease. This would happen because they lose motor neurons in their throat and lose the ability to coordinate a swallow. The patients, while they may be slightly overweight, are encouraged to have high calorie and protein intake. In doing so, it will preserve their muscle and prevent excessive weight loss.


Otherwise, today I was with the ketogenic diet RD. Again, we had no patients. It's definitely frustrating as I've just (literally) sat at the computer for 8 hours today and played around on a ketogenic diet calculator. Definitely frustrating. It doesn't help that I got my written case study back today and the RD who graded it was rather harsh. Guh. 


But, tomorrow I'm with the general nutrition counseling RD and it seems as though we have a wide variety of patients to see. One is an extremely obese pregnant woman and another is a man who has had bullet fragments in his abdomen for the past 10 years and is having some GI issues, which may or may not be related?


28 days. Please hurry up.