I learned this week that when you have iron deficiency anemia, you can crave ice chips. I had a detox patient ask me to get her level tested and when I asked her why she thought it was off she stated that she has been craving ice chips lately. For her, in the past, this has been a sign of iron deficiency anemia. Got the order and we got the results: sure enough, she was right! I did some research and learned that a common symptom of iron deficiency anemia is pagophagia. This has led to some speculation that pica can be due to a nutritional deficiency. I am glad that I listened to her and I thanked her for teaching me something new that I don't think I will forget!
I also learned a few weeks ago that I got in to a PMHNP program starting in August. I am super excited and, although it wasn't my first choice school (I am still waiting to hear from that one), I figure I can always complete the first semester and then if I get in at my choice school I can transfer some credits. Now if only my boyfriend and I could find a house (he travels for work out of state A LOT) that is between his job, his kids and my job, life would be great. If anyone has land in Iowa we can build a tiny house/put an RV on I would love it :)
Lastly, I learned that getting a patient coordinated care so she doesn't fall through the cracks when she moves out of state is more difficult than I anticipated. When you have Medicaid you can't pick up prescriptions in another state, but you can't sign up for Medicaid in your new state until you have lived there 30 days, and getting in to a psychiatrist takes MONTHS where we are located. Luckily, I think between the small town pharmacy and a good timed IM injection, she should hopefully be clear. I wish things could be easier for people sometimes.