I don't have anything very interesting to report so far this week, as I'm wrapping up with my cardio/DM rounds and I feel like things are starting to get more routine. I did talk to a lovely drug addict today, who I believe chooses meth as his poison of choice. 31 year old guy with a wife and kids, already has CHF and had a pacemaker placed a few years ago. Now has cholecystitis and his liver seems to be angry with him as well. I'm finding it difficult to put so much effort into thorough assessments and diet educations when I know the person doesn't want to hear it and likely won't follow our advice. But I'm trying to put a positive spin on it and think that maybe something that we say will click with them later and potentially keep them from returning to the hospital. Wishful thinking perhaps but you never know!