Medi-Clinic Day 3

Today I began my day in the practice that Anna-Marie works in as opposed to the Medi-Clinic. We met with a young girl, about my age, who had been losing a lot of weight. She had lost the weight by changing her diet and exercise, and lost the weight at a very good pace (about two to three pounds every one or two weeks). The problem was that she was becoming worried that she had lost too much weight and was becoming obsessed with it. I thought it was very admirable that she had recognized this issue and decided to receive help about it before it became a real problem. Anna-Marie is going to make her a diet plan that will help her to stabilize her current weight and maybe add a few pounds back on. Her BMI is about 19, which is not underweight just yet (18.5 is underweight), but it is still on the lower end of normal, and if she was to lose anymore weight she could become underweight.
After this we drove to the public hospital and checked on the adult patient in the ICU that we saw yesterday (the man in the private sector with renal failure). Anna-Marie changed his feeding plan slightly and added a bit more protein. We also went into the public sector of the hospital and met with two other patients there, who were not under anesthesia, and talked to them about changing their diets after surgery (both were patients with kidney problems).
We then drove to the Medi-Clinic to see the women who I have seen the past two days (with the TPN problems), but she had not been moved from the out-patient facility yet. Anna-Marie was very unhappy about that.
We ended the day by going back to the practice and meeting with the women who we met with the first day who had tried many diets and had always gained the weight back. We went through the diet plan that Anna-Marie had created for her and discussed how to follow it and the specifics of it. I am very glad I was able to see the follow-up appointment! It was good to see both parts of the job: the meeting and history collecting of the patient and the follow-up appointment when the actual diet is discussed. The women scheduled another follow up appointment, but unfortunately I will not be around for it.