this week was quite an interesting week..lots of my staff are losing weight and working out like mad to get in shape as most guys do on deployments...load up on crazy protien diets spending lots of $$ to get the end results....i need to order stock in that stuff.
so, i have one corpsman who is originally from jamaica who has lost 40# since arriving here. BUT, he is not doing the protien craze, gym rat phase...he is eating junk and drinking "MONSTERS"...the nemesis of my clinic, which i will touch on later.
so, he starts to get concerned about his weight loss, thinking it was just cuz he had been a heavy drinker, thought it may be the lack of alcohol...but his labs proved different....600 glucose..holy smokes. diabetic big time. i am banking on type 1 which is most common in young adults...and the FP is thinking it is type 2 cuz of family history. the verdict is still out as we are waiting for the final lab that had to go to germany for the results that will tell us what his pancreas is doing...
meanwhile, the doctors (2 FP's fairly new) who are managing his care are trying to keep him here in kuwait....which, sad to say is not going to happen. A1C is greater than 14....btw. so he needs alot of work to get that down. i am waiting for the lab that tells if it is type 1 or type 2, but regardless, he has gotta go, we shouldn't be managing a diabetic out here with insulin! THE reason of the delay....he met a girl! he and the dental tech have become very special friends and he doesn't want to leave her...my docs are soft so they are dragging thier feet cuz of his personal life. i have to admit, i like having them together, cuz once he is gone, i have a feeling my dental tech is going to fall into deep depression. (when i first met her, i thought she was in the group leaving and asked is she was ready to leave and she said yes--then i realized she was staying! he has been the best thing for her on this deployment)
then corpsman number 2...whose diet consists of "now or later" sugary candy and MONSTERS--a basic bomb of caffiene and crap energy drink which on the label states limit 2 per day and he drinks minimally 4/day that we know of ends up in the hospital cuz after a morning exercise routine (calesthenics only) he was having tea colored urine and now has rhabdomylisis--when the muscle cells basically get so dehydrated and break down and excrete red muscle like fluid into the blood stream which can clog the kidneys and can be very very bad. by the way this is a totally preventable illness if you are drinking LOTS of water, like you are suppose to when you excersise..but a diet of monsters and candy don't help...he is getting tanked up and evaluated in the hospital for 3 days! he comes back today....
i hope i don't have any other funky illnesses from my staff during this deployment...
Saturday, October 04, 2008
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