Thursday, July 9, 2009
What can I say? I like diabetes
So today my preceptor asked me to see a 17-year-old boy who came in with DKA from his type 1 diabetes. We had received a consult for diabetes education. Now, first of all, CRMC is certainly not a children's hospital. This was the first time I have had to talk to a patient under the age of 30 during the entire clinical experience. Anyways, before going into his room I took a look at his chart and talked to his nurse. I found out that this boy has had diabetes since he was 2 years old and is in somewhat of a rebellious phase of his life. His nurse was really stressed out because his doctor had ordered an insulin drip, SSI, a D5 IV, and a 2800 calorie diabetic diet (kind of ridiculous). She had been chasing his blood sugars around all morning and seemed to be pumping the insulin into him. When I went into the room I was able to talk to his mother (he was sleeping) about his struggle with his disease. I decided pretty quickly that they probably knew just about everything I would normally tell someone in a diabetes education session for an inpatient. What she really needed was for someone to talk to her about some ideas to encourage attitude change in her son. I told her about CRMC's diabetes center and their great CDE staff, my experiences at camp, and about speakers that I have seen this summer with Type 1 that have been sponsored by the hospital. I guess it wasn't exactly the most traditional education session, but I'm pretty sure that when I left she felt better, and I think in some situations that is probably the most important thing.
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