Boomz

It wasn't any better than yesterday. We were running late for our bedside teaching.
The first thing to get was an explosive shoved down into the throat from Mr.Ismail.
Punctuality, people.

Alright.

This is one of those days that you know you're incompetent and inadequate.
Can't ask for confirmation for capability if you're really lack of it, right?

So what, work hard lah.

me likey.

So it wasn't that boring today. *GRIN*

I did get to clerk a patient.
I drove back from hospital using arif's car.
I drove to hospital again to send ali off.

So C-O-O-L.

me no likey

Today, i woke up all prepared for OT and bedside teaching. Very 'semangat'.
And then when we were about to get into the car, some dude called and said all those were cancelled. Only lecture at 5-6pm.

Aiyooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo.

My day has gotta be more productive than this harlow. I hope i had started with medicine rather than surgery. =(

The narrow Selat

Hi. =) Good morning sunrise.

So I'm in Singapore today. You pay rm1.00/ rm1.20 to get here. So cheap. The thing is when me and Von went out, we didn't plan to stay here. But we ended up too late and decided to stay at her cous's place.

Long story short, i don't have a toothbrush and i didn't brush last night.

Am going to CHC Sg. Yay.

Gas or Coal?

This morning, I was grilled.

So this is how you do summary for a patient.

Mr.Maru, 55, factory owner. Known hypertension and diabetic, not under control. Presenting fever, headache, and diffused stomach discomfort. Non-suggestive of cardiac, respiratory, and urinary tract infections.

If you don't want to get your case file thrown away, do it this way. No more, no less, right to the point.

115-145 bpm

When your heart beats 115-145bpm, you're in an optimal range of performance. Basketball players, hunters, police..whatever. Beyond 145, complex motor skills start breaking down.

My 2010 starts with surgery rather than medicine. I was reading this blog of an ED dr.
When can i simply just say my day in hospital ended up like this:


'The dressings were soaked and when I took one off, I almost got spurted in the face with an arterial pumper.
And the guy was not even on Coumadin!
I spent the better part of the next 45 minutes clamping, ligating, and cauterising the bleeding.
I had two nurses helping me with two different suctions. I had two techs holding the guy still.
My white coat sleeves were all blood-covered and the room looked like the inside of a slaughter-house.
It was a very messy, unsterile procedure but finally I had the two biggest bleeders tied off, the small ones cauterised, and sutured the galea and subcutaneous layers. I stapled the skin closed and called it a night. His Hgb dropped from 11.9 to 9.'

Quoted from: http://erstories.net/

I think its time to get smacked on the butt and study. At least to know the anatomical position right?

Lesson not learnt, yet.

Good morning. =)

Coping with the new timetable and group dynamics that is so much different from previous 2 years. The word 'fluid' was used to describe our schedule. Means even if its arranged that you're gonna have a long case discussion today, you gotta call the dr. in charge and confirm it because he might run off doing his clinics. Taking initiatives.

I haven't done my ward rounds so far. But stories I have heard.

Patient: Gasping for air. 3 minutes later, he vomited at his bedside with streaks of blood.

Patient's daughter: Panicked and worried, told her husband 'There's blood you know, blood?!' So he went over to call the nurse, trying to get some attention for his father-in-law.

Nurse 1: Didn't even approach the patient and ask anything. She asked another nurse to clean up the puke.

MO: Frustrated to see student doctors hanging around watching him like animal in Safari. Simply took a look at the patient and talked a bit.

Climax 1 came. MO's girlfriend came over to him. (We assumed she's his girlfriend by observing their interactions). Loving and blossoming heart of his rekindled in 3 secs. He was smiling and chatting away with his girlfriend, with the patient's daughter who was about to cry seeing her dad suffering, JUST RIGHT BESIDE HIM.

MO: Couldn't do much so he walked away, with the request of the daughter to have a specialist seeing her very ill dad.

1.5 hours passed. Specialist finally came.

Climax 2:
Specialist: Uncle, how many times have you done your chemotherapy for your leukemia?

Patient: 1 time maybe, i don't really remember.

Specialist: Uncle, your leukemia is really severe. You should have done your chemo for 2/3 times to get all the bad cells out of your body. Now it has metastasized to your lungs, its getting serious.

Patient: *didn't know what to say*

Specialist: Can you ask your children to come over to talk to me later? Because tonight or tomorrow, you might vomit a lot of blood and you might just pass away. (with a compassionate tone)

Patient: *didn't know what to say*



Specialist: We can either do another round of chemo for you or just blood transfusion. We still try to give you a discount if you're doing chemo.


----The End----

I just didn't know being efficient and practical felt so weird when you gotta combine it with compassion. No?