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Tapered

Last taper run: check!

I almost didn’t make it to the start since I slept 6 minutes after my alarm.  By that point, my alarm stopping ringing and was vibrating.  Not sure what was going on.

Thirty minute tempo run was on deck.  I decided to split it into 7.5/15/7.5 minute intervals.  During the easy intevals, my legs definitely took it easy.  They’re not crazy about early morning runs.  They only got the memo during the “red line” tempo interval.

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I ran for a total of 3.6 miles.  Garmin said my pace averaged to 8’22″. 

It was an enjoyable morning.

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Rowers were out on the river.  Something is so peaceful about seeing them glide through the calm, morning waters.  Even on the Rock River (ew).

Time is slipping away quickly this morning, but I’m sitting down to eat breakfast.

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Strong coffee and a super thick smoothie topped with sunflower butter.  Between sips and bites, I’ve been texting with my mom about Milwaukee Rock n Sole Half Marathon plans in June.  Sounds like it might be a girls weekend! 

Yesterday

I sat down for lunch after a Spanish-speaking patient diabetes appointment.

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I jazzed up a sweet potato with butter, goat cheese, and cashews.  I like having sweet potatoes on hand for easy work lunches when I don’t have any dinner leftovers to pack.  On the side was leftover roasted fennel.  I could eat roasted fennel at every lunch and dinner.

Something to chew on-patients who have a barrier.  A barrier can include hearing or seeing problems, different language, cognitive disability, etc.  It’s so important to remember that all these patients need the same treatment that “normal” patients recieve.  It could be so easy to take short cuts with a Spanish speaking patient.  An explanation could seem too lengthy or time is tight due to interpreting. 

As a clinician, you must give the same care and treatment to all patients.  Yes, you must adjust but not give them a further disadvantage.  Be clever and create ways to extract information quicker, to cut out unneccessary words, use different techniques that result in the same benefit and explanation, etc. 

Just imagine yourself in Japan with the sight of only 1 eye trying to learn about your own health treatment.  Treat them the way that you’d want to be cared for.

Work Changes

Ah, hump day.  It’s the pivotal day of the week.  We now change our complaining of “the week is going by so slowly” to “wow, this week is going by so quickly!”  True story.

I have good news to report.  Yesterday I had enough time to blow dry my hair before going to work.  As my dad would always say…I didn’t head into work as a drowned rat.  It was always a cute childhood reference. 

I actually had more time to blow dry my hair since my reliable 8 am patient no-showed.  Had I only known, I didn’t need to stress every second that ticked by as I dried my hair.  It all worked out.  Adjusting to morning running takes a little time. ;)

Diabetes patients seemed to make the day fly by.  It was a day of great patients.  Thank you to them! 

My midday break of patients was spent in our weekly dietitian meeting.  I walked in a few minutes late since I had been with a patient.  I came into the room with an extra person and the speakerphone set up.  Our upcoming NIU (alma mater!) intern was introduced to us and later me.  She seem awesome.  Whew! 

We also had a potential distant intern interview via speakerphone.  I won’t be going into details about that….

During the meeting it was announced that I’m officially taking an inpatient floor.  I had been covering a unit during a dietitian’s maternity leave and gave that back last week.  I already kind of miss it, so I am happy to hear the new change!  It is so helpful to keep those clinical skills sharp.  Just entering tube feeding orders once a week helps me remember how to do it.  Note: at our hospital, the dietitians manage the tube feedings!  I loved tube feeding/TPN work as an intern.  Iam just out of the hang of it now.  No whipping through TPN orders in the blink of an eye.

Wellness classes were well received at a recent meeting, so I need to finish the PowerPoint that I have started plus do further program planning.  I can hear NIU professor Dr Henry in my head telling me do the entire program planning. 

After work I came home and didn’t need to run.  The 90* weather congratulated me on getting out of bed early to beat the heat.  (Sadly Aaron needed to run after work!)  I sat down and began to study. 

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Fuel needed though.  Sliced honeyscrisp apple and sunflower butter.  One carb (CHO) choice!  Also a great diabetes (and general health) snack. 

Things learned/noted yesterday:

  • Postabsorptive state is 4-15.9 hours after eating.  This is when insulin levels begin to decrease and glucagon levels increase
  • Best predictor of Type 1 DM: glutamic acid decarboxylase (GAT), an isolet cell antibody
  • Most common cause of inaccurate blood sugar reading: inadequate blood sample
  • Normal hormonal response and acute metabolic effects of physical activity: glucagon rises and hepatic glucose production is increased

The study session was cut short due to a half hour phone call with the college bff.  I don’t complain about my studying since she is working as a full-time nurse and is going back to school for her doctorate for family nurse practitioner.  She rocks.

Dinner was a feast of vegetables with a side of salmon.

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I cut up 2 fennel bulbs and more broccoli than I realized I had on hand.  Those vegetables were roasted while I microwaved the sweet potatoes.  Have I mentioned how good roasted fennel is?  It’s addicting.  I picked and picked at it while Aaron cooked the salmon.

This morning I woke up out of place.  I was confused to the time (later wake up than yesterday) and I was confused on my morning routine.  Molly, go make coffee and then get in the shower.  You’re not running this morning.

Go learn something new today!

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