So, here's a lightning quick recap of my time in Boston so far. I moved up on the 28th of August and met my fabulous roommate Heather. We shared a few exotic nights in the glamorous Chandler hotel (think sketchy European style one-step-above-hostel place) while we attended orientation for both the dietetic internship at the New England Medical Center's (NEMC) Frances Stern Nutrition Center (FSNC) and the Tufts Friedman School of Nutrition Science and Policy (campus located in downtown Boston by NEMC). There are 9 interns in our class, only one guy, and 16 interns total (only one guy for both classes). I really like all the interns in our class- we've already had potlucks and a Halloween party! There are probably 150 or so students in the Friedman School, most of which I don't know because I never see very many of them. On Aug. 31 and Sept. 1, Heather and I moved into our sunny, spacious corner apartment on Beacon at Winchester, technically in the town of Brookline, and fought over which bedroom would be ours. Just kidding- we actually each preferred a different room, so it turned out beautifully. Thankfully, the kitchen was not as tiny as I had remembered from viewing the apartment in early August, and it totally suits our needs. After a few nights in sleeping bags and meals out of take-out boxes on the hardwood floor (charming and rustic as that was), we got the long-awaited shipment of my furniture, and we bought a t.v. stand and coffee table off of Craig's List. Todd, my brother, was so kind as to drive us to Target and to pick up the Craig's List furniture. Thanks, Todd!
My schedule consists of rotations (internship work at placements throughout the hospital or city) and classes. Every day except Thursdays, I go to rotations, usually for about 7-8 hours a day. Thursday morning I go to Nutritional Biochemistry along with all the other first year interns and some other nutrition grad students. Thursday evening, I go to the main campus of Tufts at Medford (north of Boston), and take an Epidemiology class, along with some other interns and about 50-60 other students of various majors at Tufts. Thursday afternoons, I either run errands (like going to the farmer's market that was located just behind my apartment- now it's closed for the winter), take a nap, go back to rotations to work on projects for them, or work on class homework.
My first rotation was for 5 weeks, with the outpatient dietitians at FSNC. I observed them counsel patients and got familiar with the office and counseling techniques, and then I began to counsel patients myself (with a dietitian supervising). I saw 10 patients total for their initial visits, and I've already done one follow-up session with one of them. I also had to do homework and projects (creating patient educational handouts, etc.) there. Then, I moved on to the Obesity Consult Center (OCC- still in the same hospital), and observed the dietitian who counsels overweight and obese patients there. It is a center where patients go for medically supervised weight loss and/or for gastric surgery for weight loss.
That rotation was only 1 week. I am currently beginning my third week (of 4) at the Massachusetts General Hospital Weight Center (MGH WC), a center similar to the OCC. Here, a comprehensive team of a psychologist, a doctor, and a dietitian evaluates new patients who are referred by their PCP for weight loss. Some only have nutritional counseling while others go on weight loss medication or have gastric bypass surgery. I have been observing the initial evaluations of patients (with all three practitioners), observing the dietitians, and working on projects (informational vitamin handouts, and an exercise power point presentation, etc.). This field is rapidly growing and is much more complex than most people think. For that reason, it is fascinating to learn about all the new research and current thought, but I still have a hard time supporting surgery for weight loss. It seems to me that if we have to change a person's anatomy, that is a little scary- it's like messing with nature. What are the long-term effects? I think I can see myself working more in the field of public health, toward the prevention of obesity. Then, of course, there are many stunning success stories from post-op patients.
So far in classes, I've done a presentation in biochem on the trace mineral Molybdenum, and I'm working on another longer one on Celiac Disease. I love grad school because I can focus on things I want to learn (plus, most of it directly relates to the field I'll be practicing in, so it's all relevant), and the tests and homeworks are mostly take-home. In epidemiology, the professor is really funny (he looks like Humphrey Bogart and reminds me of Jerry Seinfeld with his humor), and all the assignments, even the final, are take-home group work. :) :)
Wow, that's a long entry. Sorry if it's really cut-and-dry, but I thought I'd get out the logistical background so I can focus on fun and interesting stories that fit into that framework from now on.
I miss Austin and Texas and my family and friends, but Mom and Dad are coming up to visit this Wednesday through the weekend, so I'm really excited about that. And, of course, Todd and Christy have been really wonderful, taking me out to lunch and inviting me to dinner. Thanks, again!
We'll see how long this blog updating lasts.... O:)
Next entry I'll try to talk about my extra-curricular exploits!