Eating Disorder Rotation

Have you ever thought about something, or wanted something, for so long, that when it finally happened, you were like, “eh…”.

That’s actually how I felt the first week or two of being at the eating disorder clinic. For years I have had this dream of working with eating disorder clients, but never was able to get any experience since it’s such a specialized area. And then when I found out that within my internship, I would finally have the opportunity to get the experience, I started building it up the whole year! It was kind of like I was just going through the motions with my other rotation sites so I could just get to this one.

The first two weeks, in my head I was like “oh my gosh.. what if this isn’t what I actually want to do, what would my dream be then?”.

But, then I had my week off. I was able to de-stress and re-center myself. I didn’t think a whole lot about internships, jobs, or even nutrition (except for eating delicious foods, of course), so when I came back to the eating disorder clinic that Monday, I would be coming back with a clear head.

And then, it became everything I’d imagined it to be. I started to see it for what it was, not what I had built it up to be. I was in such a fog of stress that even my “lifelong” (not really, but kind of) dream was almost passing me by. But fear not, I conquered the fog.

Since I’m the intern, I don’t do a whole lot of one-on-one counseling with the established patients, not yet at least. I calculate the calories each patient eats everyday, attend interdisciplinary staff rounds with therapists, nurses and the like, help the dietitians run their group sessions, and do the new admission assessments.

What I like about it is that every day is something new. It’s not like hum-drum clinical dietetics, and it’s not like frantic-crazy-employee-disciplining management dietetics, it’s client-focused. And you certainly don’t want your clients getting bored, so in turn, you’re never bored.

The best, and worst part, is that each patient or client is a challenge. No two eating disorders are the same. Sure two people may both be diagnosed with bulimia nervosa, but their story? How they got there? Not the same. Their fear foods? Triggers? Not the same. How you speak with them? Not the same.

I say it’s the best part because it is important to me to be challenged. One of my fears about my future career is that I’ll get bored, and not be challenged anymore.. but with clients like these, I just don’t ever see that happening. But for it to be the worst part, for now at least, I mean that it’s going to take a lot of experience in learning how to effectively deal with each patient separately. I’m always concerned that I’ll say the wrong thing, and I’m sure I’ve said the wrong thing a few times already, but it will come with time.

 

Aside from my thoughts about my rotation with eating disorders, I wanted to put this out there: If you are struggling with eating disorder behaviors or thoughts.. please reach out for help! I often find that people think they’re “not sick enough” to ask for help, and that is just not true. Everyone deserves a good life, and if you are plagued by thoughts that prevent that, then please reach out to a therapist or a dietitian that specializes in eating disorders. They can, and will help you, no matter how big or small the problem may be. A good place to start is the National Eating Disorder Association.

<3

Sunday Is A Good Day

I don’t know about you, but I love Sundays.

sundaydog

Especially when you can wake up to this face. Annie is the best little snuggler…. she may be a lab, but she’s only 40 pounds and has the lap-dog mentality.

Another reason is because usually Sundays means grocery shopping. Call me crazy, but I really like grocery shopping.. I mean really like it. Maybe it’s a form of retail therapy? I’m so methodical with it, I wouldn’t doubt that there is some kind of therapy-effect going on.

grocery

As if I weren’t already crazy about my meal planning and shopping strategy, I found this fun template for weekly meal planning (what’s wrong with me!) from This Week For Dinner. I swear I’m not usually this organized, maybe I’m finally starting to, gasp… grow up.

mealplan

How cute is that? Help me.

Side note: I don’t know if I ever mentioned this before but I like to try and make “heartier” dinners. This is mostly for Andrew’s benefit, but I also tend to eat lighter lunches most days. When I’m at the hospital getting free lunch, everyday it’s a giant salad… what can I say? When you give a foodie free vegetables…

Anyway, the one thing I don’t like about Sundays is the beginning of to-do lists for the week. This afternoon was dedicated to finishing up my case study from trauma ICU that’s due by tomorrow morning. I hate wading through journal articles to find references. Just 5 more months Em… 5 more months! So close, yet so far.

What do you love about Sundays?

Thursday Thoughts: Clinical Rotation - Week 1

So I’m almost done with my first week of my Clinical nutrition rotation. Uh, pinch me?

Where do I begin…

On Monday, I went in around 8:30 and met with the Clinical Coordinator, who oversees all of the clinical dietitians. In terms of the hierarchy, it goes a little something like this

Director*

Executive Chef Clinical Coordinator

Cooks Dietitians

This is a very shortened version but just so you guys understand a little better, I spent my Management rotation with the Director, and more time on the foodservice side. Now, I’m obviously on the other side of the spectrum, and am reporting to the Clinical Coordinator.

Anyway, she and I planned out my next 8 weeks at the hospital. Since there are 6 dietitians on the schedule each day, I will be spending one week with each, except for the Trauma ICU dietitian, that will be 2 weeks. And then my last week will be pretty much whatever I want to do, whether that’s going back to a specific unit, or doing random staff-relief.

Guess what I got thrown into first? Trauma ICU.

huh what

Holy (explicative). I’ve worked in hospitals so I’m fine with the clinical setting, but spending most of my day in the ICU… now that’s a different story.

This unit has the patients of, well, the worst cases. For the most part, bed-ridden and usually comatose. Oh, and mostly on nutrition support (a.k.a. tube feeding)

The first day, I was just kind of acting as a sponge, listening and looking… taking in as much as I could without running out the door screaming. Ok, it’s not that bad, but still. It’s one thing just briefly walk by, seeing the patient and all of the tubes going in and out.. but then reading their chart notes with their story, it’s kind of scary.

After the first day, I was trying to wrap my head around specific cases, getting in the mindset of being a day-to-day dietitian that has to consult the patient for X, Y and Z. I understand now how the ICU staff becomes so desensitized to everything going on… you don’t really have a choice. It’s you’re job to keep these people alive.

Luckily, since I’ve been in kind of a daze with all the new information, I have not one but two weeks with this dietitian in the ICU. She is an amazing dietitian and is really making it easier for me to grasp the key concepts of nutrition support. She doesn’t expect me to do consults or charting just yet, because seriously? These patients need someone that knows what they’re doing. But surprisingly, I’m glad that they shoved me into the deep-end first, because now I think the rest of my Clinicals will feel like a breeze.

Honestly? When I come home at the end of the day, my mind is racing and my heart hurts for patients that are struggling, but do I like it? Maybe, I don’t know. Hopefully as the weeks go by, I’ll know how I feel.

How do you do in hospitals?