Saturday, August 11, 2007

Life imitating art

Does everyone remember when Aidan and Carrie broke up? At the end of the break-up episode, Carrie had her wild, curly mane and, at the opening of the next episode, it was transformed into a chic, short-ish curly-bob. New hair, new life.

NewFNP. New hair-do. Soon to be new apartment with new couch (thank the heavens for Crate & Barrel). Still with old job but without old boyfriend.

And, in the midst of it all, newFNP was actually thankful to have her crazy job, her NP student and her intellectual stimulation. How do people go through break-ups if they have some mindless job in which they can ruminate and sift through the remains of the relationship? It's not often that newFNP is thankful that she has nary a minute to re-apply lip gloss or take a sip of filtered water, but she has been very thankful for her hectic schedule this past month.

Even more so than that, newFNP has been thankful that her career actually means something to her patients.

This past week, newFNP had the pleasure of working with Dr. G. Dr. G. is newFNP's age and went to med school a mere block away from newFNP's nursing school. Yes, newFNP and Dr. G. have probably walked the same hospital floors but never knew each other until practicing community health on the other side of the country. Dr. G. mentioned to newFNP that one of the things -in a very long list, of course - that makes her a good provider is that she truly cares for her patients, that she listens, that she asks them questions about their lives. During this time of major personal change, it was nice to get that validation from a co-worker.

It was just as nice when a patient's fasting glucose dropped from the mid-300's to the low-mid 100's after newFNP stopped his oral hypoglycemics and started him on an all-insulin regimen. Most of newFNP's patient cannot afford glucometers and supplies, so newFNP hasn't had the opportunity to do this transition very often. Nonetheless, even though he is technically a Type 2 diabetic, newFNP believed that his pancreas had thrown in the towel. There isn't enough metformin in the world to help this guy out. Furthermore, this patient was an exception in that he had glucose monitoring supplies, so newFNP wrote out a detailed baseline NPH insulin regimen with instructions for regular insulin sliding-scale coverage. She was so proud of herself and her patient when his glucose started to stabilize.

Now, newFNP knows that this one day of control may be an anomaly. However, to get props from a co-worker and to achieve something akin to medical success constitutes one hell of a week for newFNP.

Just wait until those fuckers see newFNP's fierce new hair-do. They'll have to wait a week, though, because newFNP and BostonFNP are hitting up the vacation CME in a fun-filled resort town.

As BostonFNP's dad once told us, learning without laughter is like a day without sunshine. NewFNP cannot wait to have both at her Continuing Medical Edu-vacation.

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