Work: charting

Anthropometric measurements
Weight change overtime - Significant?
Subjectives
Objectives
Problems/progress
Plan

Work: 1 more week, then I'll have to leave for TKOH!

TKOH, I am coming!

Diary: St. Clare's PTA 5th AGM cum Election for 6th PTA

Completed my role as a co-ordinator in St. Clare's 5th PTA for the past year and the appreciation and certificate will be issued on Nov 13th Sat 230-345!

Work: Fussy eater

Seen a fussy eater case yesterday, she was actually here for FU. She was 2.5 yr old and her wt-ht was 10-25%, not really bad indeed. As other fussy eaters, she didn't like veg and most kinds of meat. According to her mom, the pt decided what to eat and when to eat, and this is the major problem that leads the pt having a poor eating habit. The mother tried to starve the pt since the pt refused all the foods offered, but seems like the pt had endurable energy even no foods were taken. Some more suggestions for the mother,

1. Keep trying to offer the pt veg and meat, young kids often refuses new foods, sometimes it may take 15 attempts before the kids try something new.
2. Get the kids involved in food preparation and cooking.
3. Take the control in deciding what to eat.
4. Establish a good eating environment, no TV allowed during mealtimes to avoid distraction.
5. Review other protein rich foods in the meat group
6. Some milk supplements prescribed.

Other suggestions,
Food hunting (go to supermarket together and look for healthy foods)
Read recipe together with the pt

Diary: My career path

Received HR call re. the job offer. The first day will be on nov 1 since Dept Manager said UCH here is simply fed up with all the out-pt cases...So I need to get some of them done to relieve other dietitians workload. 1000 attendance done per year should be achieved by the end of my contract and they are actually having some expectations from me...

Diary: my career path

I do think the God creates a path for each of us ahead of time... Thank you.

Diary: Work-life balance

Interview done for TKOH dietitian post. I personally think i need some improvement in my presentation skill...as i didn't do well in the interview.

What's your vision of this profession in the next 5 to 10 years?
Share 1 difficult case that you have seen in OPD
How do you communicate with others in the same dept? Any hard time you have that could share?
What criteria a dietitian should have?
What is HA lacking?
How do you divide up the work and relieve the referred cases given that the manpower is fixed?

Waiting for the result...meanwhile, need to adjust the time spent on my 2 little kids with my work.

Work: Triple X Syndrome

I met a patient with the above named disorder last week with her mother. Triple X Syndrome (trisomy X) is a genetic disorder which the female infants are born with 3X chromosomes. She weighed 6kg and was about 70cm tall at her 14 months of age, she could walk and spoke a few simple words but she was definitely a small size child and looked very delicate. Her appearance has been in my mind for the whole week because even my 5month-old son is heavier than her. Obviously, she was here for nutritional buildup. I prescribed her some milk supplements and gave her mom tips to increase energy intake...hopefully, I could see her growing a lot in her next visit.