So now that you failed at diabetes...you get a diet that's even harder to follow!

Today I experienced a few interesting educations. The first was on a low fat diet for a youngish man with really high triglycerides. Right in the middle of the education he proceeded to tell me that he though he was bulimic. I was like wha? I was just confused and the RD was outside listening and she told me she was gonna come in and say something but decided that she wouldn't know what to say either so I just continued on with education. I'm not sure he was bulimic, he said something about how he eats too much at dinner sometimes and feels too full and throws up. So I'm a little confused about whether he actually had an eating disorder. But we both felt bad later for not probing more into the topic but he was about to be discharged anyways. There was nothing in his history about it and the nurse hadn't heard him say anything.

The second education was a renal diabetic education. The man had had diabetes for a while but now was in renal failure with a BUN of 250! His wife appeared to be a great hindrance to the learning process. She was flipping out about having to make changes and how she just couldn't cook. The RD was doing this since it is the first renal education that has come up the whole summer, amazingly, and she mentioned something about using garlic. And the wife just freaked and said she would never know what to do with the garlic and was just super negative about everything. She then started telling her husband this might cause them to get divorced. And then at one point she looked like she was feigning sleep while the dietitian was talking. The patient seemed actually interested but she was overtaking the whole conversation with her negativity. Needless to say I don't see them making changes at this point. It was stressful to watch.