true to form, i got the following pages last night:
■ 7:55 pm: "my daughter is on an insulin pump and she is vomiting with ketones." . . . and to the ER you go!
■ 9:43 pm: "my son is on an insulin pump and his sugar is >500. he has trace ketones." . . . take a shot, change the site, recheck, and call me back.
■ 10:42 pm: "yeah, it's me again . . . my son's sugar is still over 500 but he drank a bunch of juice before checking. and his ketones are gone." . . . take another shot, and call me back -- if his numbers aren't going down.
and that was a wrap -- not so bad. i guess that trip to the ER went okay! ahhh, the insulin pumps. they are really really great -- except when they're not. i definitely get more calls from patients with pump malfunctions than i do from patients who are on shots, although there are a lot of factors that go into this dichotomy.
for those not familiar, an insulin pump is a device that attaches directly to the body via a little catheter that goes under the skin. here is a lovely shot of what that might look like, although disregard the part labeled "C/D" -- that's a glucose sensor which we aren't routinely using in kids these days:
the model above is an older one. current pumps are a bit cuter:
no reason why your pump can't add a little pizazz to your outfit, right?
the above model is quite popular as it allows patients to wirelessly transmit blood sugars from a monitor to the pump so that the pump can automatically decide how much insulin is needed. for safety reasons, it does NOT yet deliver the needed insulin automatically -- the patient has to press a button and tell it that it's okay to do so.
while they definitely seem to go wrong more often than shots do (it's hard to mess those up -- unless you don't take them!), they allow for greater flexibility and a more physiologic mimic of what the pancreas does naturally. if i were diabetic, i would want a pump.
sometimes i actually wish i could try one out for a week -- pretend to be diabetic -- so that i could see what patients have to deal with exactly! i feel like i could give better advice that way. a number of people in the endocrine field are diabetics themselves; they get to share their own experiences and i know the patients appreciate it. i am really grateful that my pancreas works beautifully, but i could see how this would be valuable.
maybe she reads the blog
one of our patient resource managers (who i've known for a number of years and have worked with a number of times since i've been an intern!) said to me yesterday, "you should do a talk or teaching session with the residents on efficiency and organization."
i didn't tell her she could just show them this!!
but it did get me thinking. i do have this interest, and perhaps there is somehow i could apply my passion for mindfulness/time management to my real job. hmmm . . . something to think aobut!
maybe you read the blog
well, at least you're reading it today! i know the numbers, but i am curious who is signing on these days. i love (love, LOVE!) and appreciate anyone who comments, but i often wonder about those who do not.
want to make my day? come delurk and say hi! i'd love to know:
★ where you're from
★ how old you are (if you're comfortable sharing!)
★ what you do for a living
(i have a feeling i have more medically-focused readers than anything else!)
i'd also love, as a bonus, if you can think of anything:
★ what would you like to see more (or less) of on this site?
and now, i am going to hit the mat. happy wednesday!
workout: 35 minutes elliptical + 20 minutes full-body weights (squats, push-ups, lunges, tricep push-downs, seated rows, abs)
cooking adventures: the chef (ie me) had a planned night off. there was an unphotogenic microwaved amy's burrito and some TCBY consumed (yum).
board prep: i completed the loo-o-ong GI chapter and 10 PREP questions. fun fact: yersinia is a type of gastroenteritis that can mimic appendicitis. i knew that part, but was surprised that no treatment is actually needed.