I recall the sick feeling I had in my gut. I remember the feeling of shock and buckle up for the long haul. I knew deep in my heart I had just agreed to open a can of worms. Let me add here how very faithful God was to me. If I had known what the future held, I would not have been able to go forward. In God’s grace and infinite wisdom, He protected me and only allowed me to have enough information to continue to go forward. The first tests for Miranda in the doctor’s office was for blood sugar abnormalities and thyroid problems, because those were the most common. All tests came back normal, so the doctor sent me to a dietician. I was mortified and angry. I did not want to go to a dietician. I was so tired of people thinking I over …show more content…
She observed my size and structure. I was 5’1” and wore a size 4, so I was considered small. As she spoke it was as if for the first time I had ears to hear Miranda may genuinely have a problem. The dietician told me she knew a man who could help us. She spoke very highly of him and said he was an excellent endocrinologist. I had never heard the term before, but she felt confident Dr. Endo #1 could help Miranda. She added endocrine disorders were extremely rare, but she believed Miranda may have …show more content…
I went home and told Kevin. He and I looked up endocrinology on the computer and read about different diseases associated with the endocrine system. One disease, in particular stuck out to me because it described Miranda to a tee. The disorder, Cushing Syndrome, stated the individual had easy bruising, weight gain, infections, skin healed poorly, and retarded growth. It was the easy bruising which caught my eye. Miranda had always bruised easily and I had never understood why. But, when I saw retarded growth I dismissed the disorder. Because I mistook retarded growth for mind retardation. Miranda was extremely gifted in her intellect, so I totally dismissed Cushing Syndrome as a possibility. Miranda had struggled with strep throat since January 1998. In December 1998, I took her to an ear, nose, and throat specialist because her tonsils were so large she had difficulty swallowing. I knew she needed them removed. The doctor took one look and set the date for
Mrs. Newman has been experiencing hoarseness and a change in her voice, but she did not seek medical help until she began to have difficulty swallowing. After being seen by her healthcare provider, she is scheduled for outpatient surgery for a direct laryngoscope to obtain a culture and take a biopsy.
Take-Home Exam I Diamond Agyare History 204: Global U.S. Since 1877 Dr. Whisenhunt March 8, 2024. What were the social, economic, and political conditions that led to the rise of Big Business? Explain: The rise of Big Business in the United States was driven by numerous social, economic, and political conditions. In the last two decades of the nineteenth century, these factors allowed for the emergence of massive industrial companies and the rise of economic power.
Another medical encounter faced by the Lee family best depicts Lia’s obesity issue. Lia was defined as being fat and based on the physical growth chart Lia ranked in the fifth percentile for her height and age. However, her weight reached the seventy-fifth percentile, which made administrating injections into the veins quite difficult during the time of seizures. (Fadiman, Chapter 5 page 42-43).
Alicia Cordova is 5 feet 3 inches tall. And currently weigh 155 pounds; she was pregnant for her second child when she developed gestational diabetes .After pregnancy her blood glucose went back to normal. Mrs Cardova was advised to exercise regular, maintain a healthy weight, and to get regular checkups. However, she has not been able to maintain a healthy weight; she states that she does not overeat, and she exercises regularly. She goes to the gym because she wants to lose weight; however, she is concerned about the effects of diabetes and the possibility that she might need to take insulin injections. She also voice her concerns about her overweight husband and children, and they are not very active. Mrs Cordova was referred to a dietician by her physician.
There were two students came with strep throat, today. I did the Vital signs and assessed their ear, nose and throat. Mary did the Mononucleosis test and Strep A test. She prescribed one of the girl with an antibiotic. She is a Kinesiology major student and is an athlete. She
Before FNU 206 Introduction to Nutrition and Dietetics, I only had an idea of what I wanted to do as a Registered Dietitian, but not exactly how to reach that goal. After taking this class, Dr. Adkins has given me direction as to how to find my first destination. The Registered Dietitian career is not like being a doctor; there is no specific practice to study in school and stay as that type of specially trained practice. There are certain practices and patients to attend to as a Registered Dietitian, however my first job can be in a clinical setting with cancer patients as supposed to a company focused on wellness of the body. The same situation applies before becoming certified when I must put those hours of experience in. This intrigued
I have the drive and determination to obtain a degree and finish school. In my family’s history, it was always a challenge to finish high school. I knew that I wanted to go further in life because I knew I had the potential to be something. I then worked hard to obtain my GED. After receiving my degree, I have attended school so that I can work in the health field to become a CNA. This was a great journey for me. I had come across many bumps in the road, but I kept the faith and I worked hard so that I can complete what I had started. I desired to be a finisher, to finish whatever project or task I begin. Completing the course for my GED was a great milestone, but when I finished school recently and passed all the required tests to become a CNA, it was the proudest moment of my life. That is when I really realized that there is nothing impossible or too hard for God. I realized that as long as I keep Him first then I can do anything I put my mind to do. I have really grown and understood what it means in the book of James where it states “faith without works is dead.” I’ve always had faith, but I needed to grasp the concept that in order to be successful in life, you have to work at
he novel, To Kill a Mockingbird, is a bildungsroman written by Harper Lee. The novel takes place during the 1930s and is told in a flashback as the narrator and main character, Jean Louis Finch, or Scout, recalls the events that occur within a three-year span in her home at Maycomb, Alabama. In that period of time, Scout and her family are introduced with multiple predicaments that derive mainly from the discrimination and unacceptance shown by the citizens of this southern state. Throughout the novel, Harper Lee uses the literary element of conflict. Conflict is specified as the complication that arises between opposing forces in a story. The author uses conflict to convey the central idea that courage is displayed by attempting to
Everything was starting to look up and I had hope again. There were multiple occasions where I’d lost it and I would find myself asking God time after time why he did this to me. My mom told me it was one simple concept: God gives his hardest battles to his toughest
According to the Diagnostic and Statistical Manual of Mental Health Disorders, Volume 5 (DMS-5), Shelly’s low body weight, her lack of food intake, and her purging were all qualifying symptoms of Anorexia Nervosa. In addition to these symptoms, she exhibited the additional symptom of a fear of gaining weight. She explained to her therapist that she feared weighing as much as her twin sister, even though her sister only weighed 100 pounds.
B.J. is a 54-year-old attorney who for several months has been experiencing generalized headaches that have responded poorly to nonnarcotic analgesics. He is also experiencing visual disturbances including blurred vision and double vision. On questioning, B.J. reports that he has gained 20 pounds over 2 years despite no change in activity or eating patterns. About his weight gain, B.J. jokes, “I guess it’s all in my feet. I had to buy new shoes, and my shoe size went from a size 10 to a size 12.” It was determined that B.J. should have a CT scan of his head to assess for a pituitary adenoma resulting in the
It was merely a decade ago that the obesity epidemic was thought to only be a minor problem and had only alarmed a small number of endocrinologists interested by the size of the situation (James, 2008). However today, the problem of obesity is vast with more awareness of its presence by doctors and individuals alike. In fact, the Center for Disease Control and Prevention states, “More than one-third (34.9% or 78.6 million) of U.S. adults are obese (CDC, 2014)”. These numbers are outrageous and eye opening, leaving millions looking for a solution to this troubling epidemic. Obesity is not simply a cosmetic flaw as some might think, but is actually a very dangerous state of being for any individual to sustain long-term. Mentioned further in
A journey of 1000 miles begins with a single step, a Chinese proverb that I have come to live by through my journey of nursing. I never thought in a millions years that I would have become a nurse. When I was younger nursing was the only profession my mother pushed. It was as if everyone in our family had to be a nurse. Honestly, I think I rebelled from the thought of being a nurse simply because it was my mothers desire for my life. I went from wanting to become a lawyer, to a therapist, to a pharmacist, to even a radiology tech. Ultimately; nursing became the clear path that God wanted for me. Interestingly enough I have come to realize my personal
* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her
Life sometimes seems scary. The fear of failure and the fear of the unknown make a person rethink its choices and goals, this happens all the time. As time passes, be days, moths, years or only simply one experience can change our whole vision of the world, about life, about what really matters and consequently about our goals. Throughout my whole life I have questioned so many aspects of my life, of existence, and consequently about my future. I never stopped wanting to achieve something big, that could change the whole world, some amazing adventure that would be the one thing that would give birth to all the amazing things that could happen next. As time passed I realized that life itself is one big adventure, and that what I will do every day will matter for me and for the people around me. I realized that life is not some perfect movie where there are good guys, bad guys and that in the end of one amazing journey everything would be solved. It may be a childish vision of the world, but it had motivated me for years to do the thing I believed would help me achieve this, and to believe in myself. Obviously as I grew up, I saw what the world really looked like, that sacrifices have to be made, that there are things which no one can control, that if I want something I have to work really hard. In today society everything counts.