You know what I did this morning that I have done in 3 months?  Hit the snooze button 4 times in a row.  I woke up after the sun was already up.  Wow, it’s the small things people!

dietitian business

I came into work a little blind.  I didn’t really know what the outpatient schedule looked like and I didn’t know who/if any RDs were off.  What I found was my name dominating the outpatient schedule, 2 RDs off, and an email about a RD meeting.  I then volunteered to take 9th floor.  I was in for it.

And how did it all start?  Being slapped with 2 TPN consults.  I couldn’t even tell you the last time that I wrote a TPN order!  I loved doing these during my internship when I did them daily, but when I haven’t done it in months and months, they looked like a virus to myself! 

I took a deep breath and started with the patient’s needs.  220-250 gm dextrose is stuck in my mind, so I started with the bottom end of that and worked from there.  When I came to the lipids part, I couldn’t recall the grams of lipids to mL.  Cue me paging another dietitian who answered me in 30 seconds or less.  Note to self: “250 mL standard lipids” translates to 500 kcal.  And then I remembered to check for propofol/diprovan (RIP Michael Jackson) for additional calories.

No TPN for myself.

This was only ok.  Naturally I am not crazy about flavored yogurt.  I’d rather just have a blood orange and no dairy product.  Don’t mix those two!  I sadly did once.  You only make that mistake once.

I managed to see all 4 outpatients, 6 inpatients, 1 food preference, and a RD meeting by 5:45.  Ah, what a day back.

off the clock

Hard avocados wrecked my original dinner plans.  I turned to another planned dinner and realized I somehow forgot 2 major ingredients at the grocery store.  I broke down and asked Aaron to run by the grocery store after work.  He is the best.  ELR’s spinach and cheese casserole would save the night.

This recipe looked and smelled so good from the start.

This didn’t take long to make, but I was still trying to hurry along since Aaron had presentations to go to at 8.  It turned out on time and delivered!

Leftover grilled vegetables on the side!  This needs to be done weekly. 

How good was the casserole?  Aaron had about 15 minutes to eat before he needed to head out.  He ate so quickly so he could eat 4 servings.  I better stock up again on quinoa to make this again soon.

Also, the breadcrumbs on top were made by me and are whole grain!  I throw bread in the freezer when I won’t be using it all or it’s going stale.  When I need breadcrumbs, I pull out 3 slices of bread a few days ahead of needing it and leave it exposed on the counter.  Days later I chop the bread into smaller pieces and toss them into the food processor until it is crumb texture.  It’s really too easy, cheap, and effective.

Update on my weird foot injury (it feels like a section of my outer foot is deeply bruised): a rubbed and rubbed my foot while the casserole baked which apparently has helped as of this morning.  Progress!

Next up: race morning!  Catch up on my prep work until then.