And I’m the worst person on the planet. It’s official.
Please note: I’m not a qualified dietician. Or a nutritionist. Or even that good at community medicine. Or at general medicine. Or at physiology. Dear God, am I even good at anything? I’m not even good at ranting on a daily basis anymore.
What makes me say all of that?
Well, I recommended some protein to a loved one’s aunt. The aunt managed to have a hip fracture. And is still in recovery and has diabetes and hypertension to boot. And is also a vegetarian.
Said loved one asked me for a diet plan, because um, I’m a doctor and all.
And me being me, and wanting to be a know it all, recommended SOME protein (I repeat, some) to this aunt. And this is what made me feel like I should actually be sent to prison.
What happens when you recommend such a diet to a patient with chronic kidney disease?
You end up killing the patient.
A protein rich diet would inevitably lead to increased intraglomerular pressure and glomerular hyperfiltration. This can cause damage to your glomerular structure leading to or aggregating chronic kidney disease.
Bro, what was I thinking? WHAT THE HECK WAS I DOING?
Who makes a mistake as basic as this one?
To top it all off, I have a lovely friend who said it’s okay to make mistakes because I would never make it to MD because I’m stupid that way. And it hurt. True, it didn’t embarrass me as much as I embarrassed myself, but it hurt all the same.
Why am I ranting about it here?
Here’s the thing.
When you’re a doctor, you’re dealing with people’s lives. When someone asks you advice on something super basic as what to avoid eating when stuck with CKD, you should be able to give the correct answer even when in deep sleep and even when you’ve got mouth full of toothpaste foam.
There’s no room for error.
There’s no room for mistakes when you’ve come so far and you make a goof up like this one in front of someone who’s super close to you. Not only have you managed to embarrass yourself, you’ve also earned your first strike.
Which brings me to my conclusion…
My other (highly negative) friend was right. I’m not fit to be a doctor anymore. I should give up my license and stick to being an insignificant blip on the surface of the Earth.
Have you ever had to face embarrassing situations like this one?
I know I’ll never recover from this. And I’ll never forgive myself. Will probably beat myself up till I actually die or something. What an end to 2018. Oh, brother.