Monday, September 12, 2016
Fifteen years on and farewell to MAD
At the urging of our GP, who is filling in for C.'s pediatrician (the latter, at the age of 70, decided to climb a few Californian mountains), I consulted a dietitian about the C.'s plummeted albumin and slightly low hemoglobin levels. I did so very reluctantly since I've never had a high regard for dietitians, presuming their knowledge to be scanty and freely available from Dr. Google.
Well, I may be prejudiced but, strangely, I'm also pretty open-minded. After a brief session with this dietitian I did a 180. She won me over with her explanation of how the body needs carbs and, when it doesn't get any, it breaks down protein to extract the carbs therein causing protein depletion..
She added that C. may have tolerated the MAD - Modified Atkins Diet - but was now apparently suffering these side effects from it. (She's been on it for about 10 years.) I left the clinic - 5 minutes from home - with instructions on how to introduce carbs gradually and a referral for repeat blood tests next month. (Could it get any simpler?)
So C. has already had red quinoa and brown rice which has left me high on optimism again. True to form, my imagination has run amok and I'm dreaming that the carbs will not only help heal C.'s pressure sores but boost her energy and cognition levels. (An occasional bit of fantasy never hurt anybody, right?)
And yesterday we brought C. to our HMO's Wounds Clinic where the experts re-examined C.'s whoppers, declaring them all either "healing nicely" or "not-too-bad". Her course of antibiotics was halted and the iodine and gauze treatment continued along with twice weekly visits from our our dear home visiting nurse.