Week of March 11th 2019- Cardiovascular Hospital (Thoughts on Organ Transplants and Bingeing)

Man, keeping up with this blog is getting difficult. :< Here’s a recap of the week.

 

Monday, March 11th- First Day at the Cardiovascular Hospital

I was about 10 minutes late to my first day at the cardiovascular hospital. I never liked my clinical rotations. Working at a hospital is boring and depressing. People are sick/dying and most of them don’t care for a dietitian’s help. Most of them just ended up asking where I’m from because of my accent. It’s like, FOCUS! Geez! You are in a hospital. Let me help you! Gosh.

At this hospital since it’s specialized in heart diseases it was a bit easier. Pretty much every diet was low sodium and it was a lot easier to talk to people. Not a bad day.

 

Tuesday, March 12th- Different Dietitian’s Processes

The dietitian the previous day was very boom, boom, boom, trying to get through her patient list quickly. It’s crazy. They can get up to 30 new patients in a day and are responsible for evaluating all of them. Before this hospital I’d evaluated no more than 4 patients in a day. Here we did about 6 each just before noon. It was crazy but cool.

The second dietitian (the one that would evaluate Gia and I) was a bit different. She was fast, but took it a bit more calm. She’d take about 75% of the patients and give me the other 25% so that we’d finish at the same time and would then chat with me. It’s so weird. The clinical preceptors I’d had were not at all personable. Or maybe I wasn’t as open to it back then. Maybe! HA! I know I wasn’t.

 

Wednesday, March 13th- A Word on Organ Transplants

I saw more patients today. Blah. So I’ll tell y’all one more thing about yesterday. I got to see an outpatient evaluation at the heart transplant clinic. It was interesting to see. Apparently in Puerto Rico, people have to get evaluated in several areas before being put on a transplant list. This includes medical, psychological, nutrition, and social work check ups. I know the U.S. requires something similar, but I don’t know exactly how that goes. It’s unfortunate to get hung up in the process, but I think it’s important because it’s only more suffering and, I daresay a waste, to grant someone a transplant who can’t maintain/ benefit from it.

It’s harsh, but if a person gets a transplant but doesn’t have the physical capacity to heal from the surgery (medical), can’t afford to pay for the necessary medications to maintain it (social work), doesn’t stick to a healthy diet to keep the organ functioning properly (nutrition), or commits suicide (psychology), the transplant wasn’t worth it and the organ should have gone to someone who would have been able to maintain it. It’s tough, but true.

 

Thursday, March 14th- Free Day, Yay? Try not to Binge, Guys. It’s No Fun.

No rotation today! There was a meeting or something, so we didn’t have to come in. Haa… that was kind of awful. I’m so un-self motivated. I spent the whole day pacing my apartment and cooking. Which, of course, meant eating. Sometimes when I’m stressed I just want to eat. It helps distract me from whatever it is I’m stressing about. And, as an added boost, it punishes me afterward.

When I’m feeling particularly down I’ll eat until I feel like throwing up. I really hate throwing up, so I just have to sit with the uncomfortably full feeling until it passes. If the stress is bad enough, I’ll still feel the urge to keep eating. So I’ll be on the brink of throwing up and still eating. The suffering will feel right. Like I deserve to feel bad on top of all the stress. It’s messed up.

So I ate all day then ordered pizza and wings to eat late at night. My roommate got a job and is thus not in the apartment a lot so… now I have the liberty to do this stupid stuff again. Ugh. Gosh.

 

Friday, March 15th- Last Day at the Cardiovascular Hospital

Today I got to meet a couple of nursing students who came to the dietitian I was with to learn about the basics of a low sodium diet. It was fun. I wanted to take them by the arm and teach them everything I know. D: I want to be a professor so bad!

Ah, and since it was the last day all the rotation’s assignments were due today. I had a free day yesterday. What did I do? Wait until 1 am to start working on everything? Yes. Yes, that’s what my stupid face decided to do. -____- Gosh. So, today I took a nap as soon as I got back to my apartment. Didn’t do much before going to sleep for the night either.

 

Saturday, March 16th- Procrastinating as per usual

Still wasting my life away. That’s what I say when someone asks me what I’m doing and I’m procrastinating. Augh. Next week is the first of two weeks of my renal rotation. I’m not looking forward to it. It’s clinical and the most complex of them. Of course I woke up at a bright and early noon today. :/ Didn’t want to be awake. And I’ve been procrastinating today. Honestly, I’m just happy to have gotten this post written. I’ve had days where I can’t even motivate myself to write for my blog, so this is good.

The next two weeks are going to be incredibly trying, but I’ll try to keep up here.

 

Sunday, March 17th- Car Renal Madness

I thought the week was going to be over without any major events. HA. That couldn’t be my life. No, instead, Gia and I went to pick up our rental car for our out of town rotations to begin on Monday and were going to be charged almost double. We said, no thank you and looked for other options. We went down a street with several other car rental places and they all either said they didn’t have any more cars available for the day or they charged us more than $300 (for four days, mind you!!).

Ugh. It was a nightmare. We were supposed to pick up the car at 7pm. I didn’t get back to my apartment until 11pm. This was after getting lost on the highway for a long time, of course. It was so dark, and ugh. I’m just glad it’s over. I hope tomorrow goes much more smoothly.

 

Coming Up Next Week!

  • First week of renal rotation in a different city. Stressful!
  • Nutrition conference on Friday.
  • That’s it. That’s more than enough. I’m going to avoid as many people as possible.
  • Hope I survive.

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