A difficult patient

Today arrived at the office the most difficult and clueless oncology patient that I ever seen. First, in the service of nutrition we used the method called the "pesitos" to explain the portions of food to patients. 

This patient has breast cancer and she is receiving chemotherapy. She has had several symptoms associated with her treatment, such as nausea, vomiting, diarrhea and weakness, in addition she is obese (which can increase the symptoms). From the beginning she didn't understand the method but she didn't tell us the situation. So, she was doing a different, monotonous and low-calorie diet compared to her real diet. The patient's diet even decreased important biochemical parameters.

Even though we try to explain the "pesitos" but she began to despair, anger and shout "I do not understand anything". So we try to calm and explain as 8 times the same and then we ended up explaining to her with drawings.

The moral is "I need a lot of patience and know how to draw for this kind of patients".