Sunday, August 1, 2010

Glycemic control

Sometimes I feel like a small child on call. For example, when I look back on the night and realize my PO intake consisted primarily of:

-apple juice (from the labor floor juice machine "for patients only")
-graham crackers (from the ER cracker box - saltines or graham, take your pick)
-peanut butter M&Ms (from the triage nurse who said I "look like I need some food")

Good thing I'm not diabetic. Oh, yeah, I also had french fries for lunch. Because I got down to the cafeteria after the "real food" was finished, and I had the forethought to realize that a salad just was not going to cut it. One of the silver linings of calls like last night is you feel totally justified in the amount of junk you eat. M&Ms and all, I still didn't get enough calories to make up for a) my basal requirements or b) my running around like a crazy woman. I need to hire someone to spoon feed me mac and cheese while I write notes or I'm going to whither away.

In other career news, I start my first day of my first Maternal-Fetal Medicine rotation tomorrow. I'm so nervous. More nervous than I've been for a long time. It's like a first date with someone I really, really like. Is this going to work? Is this for me? Could we make a go of it for the long haul? What should I wear? (Cough...I may have ordered fancy new scrub caps in hopes of wearing them on this rotation...oh, yeah...) The more I learn about MFM, the more I think it might be what I want to do with my life. It's complex and dramatic and can see why I might like it. It's about thinking like a medicine doc and cutting like a trauma surgeon. It's about saving lives - two at a time (sometimes three or four at a time). It's about being the resource for patients whose babies you cannot save. And, unlike what my med school MFM department led me to believe, it is NOT just about diabetes.


twinsetjan said...

You come by it honestly...I only had black coffee till late afternoon -- then a few chicken wings, some Scoops and salsa and some grapes. Most days I do better, but sometimes it just doesn't happen!

I know your going to do great in MFM...let's see a pic or two of the new chapeau!

twinsetellen said...

What am I going to do with you and your aunt? I may have to come to Providence for an extended stay just to spoon-feed that mac&cheese.

Remember - you have to take care of yourself if you are going to take care of your patients!

(And, you are going to be awesome in MFM. Remember, MFM feels like it is a first date, too.)