Dietetics: Coursework is Over!

Dietetics: Coursework is Over!

End. Of. Didactic.

No more coursework!
Baiiiiiiiiiiii

If you’ve been hanging out here, you probably know there are a few hoops to jump through before you get the joy of becoming a registered dietitian nutritionist (RDN), which you can reference here.

Ready to take a little stroll down memory lane with me?

Jax is a v helpful biostats tutor. Actually Zack genuinely is- but he’s not pictured.

The didactic portion lasted from August 2018-December 2019 and included biochemistry-heavy classes like energy and non-energy nutrients as well as nutrition classes like medical nutrition therapy (MNT) and counseling. There were also two public health classes, a foodservice management course (the bane of my existence), and lots more. My program had the option to tack on another semester to get the M.A. in Dietetics and an M.S. in Nutritional Sciences, so I figured “why the hell not?” and I packed a whole other semester of coursework into this Fall semester, because I’m a glutton for punishment. Honestly, I just do not enjoy school and I desperately need it to end (aka ya girl misses a paycheck). Usually people take an additional semester to tack on the M.S. coursework, but I distinctly remember thinking, “I can handle this!” and I did! Not well. Not gracefully. I didn’t sleep and rarely got a day off to rest. But here we are.

Why the additional Master’s?

Let me preface by saying I think you can FOR SURE be successful without one in this profession, but here’s my logic anyway:

– I don’t have a science degree. My B.A. is in sociology, and without the science degree, this program is by default an M.A. in Dietetics…and that kinda bummed me out. Didn’t want to be limited by the arts, even though I so very much appreciate them and will forever be proud of my liberal arts background. I feel like my resume should reflect that I took a crap ton of biochem and organic chemistry and biology to get here, ya know?
– The field of dietetics is changing so quickly, and I didn’t want to be swept away in its undertow.
– Did I sign up for more classes because I was afraid of being limited professionally? Yes. And I don’t want to look back and say, “Yeah- I could’ve done that.” NO. RA.GRETS. (p.s. I reached out to lots of RD friends before making this decision and most feedback was, “well…it wouldn’t hurt!”)
– And finally…I don’t mind research. I did some undergrad research at UT, and it was a worthwhile experience (although painful). I seriously don’t mind putting in the work. Plus, I’m getting some data on Crohn’s disease and ulcerative colitis patients that we can build on for the future, which is meaningful to me.

This past semester we started our clinical rotations on Fridays, and this is my clinical group. Don’t let the white coats fool ya- we still have all the things to learn, but it’s exciting to get to see patients. I found out that I really love critical care and calculating tube feedings for specific disease states, and of course I love GI nutrition, too. I mean. Of course. I’m leaning heavily toward clinical pediatrics, but I’m open-minded to wherever the wind blows!

Not pictured: I took 19 hours of coursework, which until October was actually 22 hours because I was busy catching up from the Summer semester when I had to delay classes for a hospital stay. If you’re new here, I’ve been in a Crohn’s disease flare since 2017. It was “ulcerative colitis” and now it’s “Crohn’s” and we can’t seem to find a diagnosis or a drug that sticks.

Here I am, in the middle of finals hooked up to an IV that I happily drive 6 hours round trip to receive. This drug is designed to target my gut inflammation specifically by making it calm the eff down, but my body seems to have other plans of being even more resilient than the medicine and has neglected to respond to it despite 5 months of trying this drug. It’s fine.

Oh- speaking of the Crohn’s, my college roommate turned lifelong pal Haley and I participated in the Foundation’s Spin4 Crohn’s and Colitis Cures fundraising event, and our team “Pina Colitis” raised more than $2,000 in November. Thanks to everyone who donated! Thank you to everyone who purchased the fun smoothie eBook that I made! Couldn’t have done it without y’all.

^smoothie recipe from the eBook 🙂

^here’s an unfiltered look at my walk to school. Isn’t fall here pretty? Fall always makes academics feel more academic. To keep this all brief, I’m going to sum this up with highs and lows:

Highs from didactic:
– all of the nutrition-specific classes
– getting less uncomfortable with public speaking
– making good friends!!!
– cool opportunities: getting to attend lots of conferences, continuing education, networking events, interning, etc. So many chances to keep learning in lots of different areas!

Lows from didactic:
– group projects
– tests. I hate a test. I’d love to soak up information through lectures and projects and presentations and papers, but GAWD I HATE TESTS
– my health. not in a good place. Kinda tired of that.

Learning how to drop a feeding tube!

Finally- if you’re interested in dietetics and nutrition…reach out to me! I’m always happy to gush about the field and try to convince you why it’s my favorite profession and should be yours too 😉

If you’re thinking about health sciences but you’re deterred from all the hard sciences and dedication- just keep telling yourself all the hard things you do over and over every day. We are all juggling hard stuff- sometimes we get the privilege of prioritizing school temporarily over other hard times…and other times, like right now, we are done with coursework, relaxing on the couch with The Holiday playing in the background, not worried about another final.

Not gonna miss ya, coursework. Here’s to what’s next: supervised practice, and more immediately, a cup of hot chocolate

Healthcare Advocacy in D.C.

Well, I went to The Hill.
The Crohn’s and Colitis Foundation asked if I would, so I said, “OF COURSE!!!”

My professors were kind enough to let me get finals out of the way early so I could go make noise on Capitol Hill for a couple of bills:

1. The Medical Nutrition Equity Act H.R. 2501: Currently, health insurance in America will cover medical foods as long as they’re inserted through a nasogastric (NG) feeding tube, even if there’s no clinical indication for insertion of an NG tube. We need these medical foods covered orally! Medical foods are NOT groceries…that seems to be the consensus on The Hill, and I had to explain from the position as a future registered dietitian:
– Medical foods are broken down into single amino acids, digestible monosaccharides (single sugar components) and lipids, so the body can absorb them easier. These are especially important in patients who are malnourished.
-Medical foods are important, especially in pediatric patients, to prevent or prolong the need for more expensive/potent medications.

2. The Safe Step Act H.R. 2279: There are laws in 25 states currently that protect patients, but not in Oklahoma where I live. In Oklahoma and states like it in this respect, insurance requires patients to first fail a medication before they can then be prescribed a medication that would be helpful. However, there’s no burden of responsibility on the insurance companies to review the appeals process submitted by the doctor stating that the patient is failing a drug. This could mean up to 6 months time would pass before a patient finally receives permission from the insurance company to try a new drug. I experienced this firsthand in Oklahoma last year:
– My drug of 6 years, remicade, began failing me because my body developed antibodies to it since my doctor repeatedly forgot to write the order for it, delaying the time between infusions of remicade.
-I “failed” the drug, meaning I began to experience uncontrollable symptoms. I was told that it would take “several months” before insurance would approve another drug. I was missing work and knew I didn’t have “several months”. Literally, I was scared that I would die. I was violently losing blood 30 times daily, losing weight, and I couldn’t stay hydrated. I was hospitalized twice last year because of issues associated with failing remicade.
-I moved my care to Texas, which is a 6 hour round-trip ordeal for me to receive treatment. Because Texas has laws in place that protect patients, I was able to get my infusiong within 72 hours of finding my new GI doctor in Dallas. When insurance acknowledged that I was “failing” remicade, I was able to get on a new treatment within 48 hours of the doctor submitting an appeal to insurance.

The Safe Step Act would require insurance to make timely decisions so patients could receive the treatment they need as prescribed by their doctor, potentially avoiding missed time from work, loss of employment, surgery, hospitalizations, or even death (in extreme cases). The Safe Step Act saves healthcare dollars and lives!

A local GI doctor (George) and I spoke with the staffers for Senator Inhofe and Congresswoman Horn from Oklahoma, and then we met up with friends from New York and Kansas (Sarah and Tyler) to speak with Congresswoman Davids and Senator Roberts (side note: Kansans are truly some of the kindest people I have ever met). Our goal was to get co-sponsors for these bills so we can make them into laws, bettering the lives of IBD patients and beyond. Most, but not all, of the legislators were receptive and even supportive! Contrary to what we see/hear in the media, Republicans and Democrats CAN agree on some things, and since these bills are bi-partisan, that made this whole, “please support these bills” requests much easier.

I saw Congresswoman Alexandria Ocasio-Cortez from New York from afar- SO exciting to see women MY AGE in Congress! I also saw Senator Ted Cruz from Texas about 127 times.

Between our meetings, we grabbed lunch underground at a cafeteria and waltzed over to the U.S. Botanical Gardens for some peace and quiet from the hustle and bustle. Shout out to Sarah from NY for knowing D.C. like the back of her hand, because I felt like we had a tour-guide, and this was a gem:

Since the 20 days that have passed since meeting with legislators, we have gained 22 co-sponsors for The Safe Step act. I sent another follow-up email to some staffers today, and we are actively seeking more support.

If you’re interested in these bills above and want to make noise where you are, email your representative and ask them to co-sponsor the above bills. Tell your story, and let them know how these bills would help you. These bills are currently both on the House of Representatives side, but we will have Senate call to action soon!

I’m learning that advocacy is so, so important. If you’re affected poorly by the systems in place, we can make a change…but we need to tell our stories. Lawmakers need to know how we can change our world, and advocacy is the perfect space to not only let people in positions of power see how we need change, but also to offer a solution through these bi-partisan bills.

Keep moving forward!

Not pictured: coffee shops, crab cakes with my friend Hope, riding bikes through a thunder storm, touristy monuments, and a cocktail reception with new friends

P.S. If YOU want to support medical research directly, please consider donating to my fundraiser here!