Saturday, December 16, 2006

Oncall - bleurgh......

Post call - yeay!!!!!!!!!!!!

I remember when I went for my induction course, a fellow medical officer listed 'benda yang dibenci - oncall. benda yang disukai - postcall'. Ada gak another fella who said, 'benda yang dibenci - oncall. benda yang disukai - claim elaun oncall' - hehehe....smart alec la tu.

Yesterday I had my first oncall in 17 months.

My senior MO gave us a month to get used to managing patients, since the roster had been set up and it would only be a waste of time to reconstruct it just to accommodate us two new MOs. I had the good intentions of 'tagging' - some call it shadowing - but of course, my good intentions remain as intentions, hehe.

I've long learnt that particular MOs are 'jonah' - which simply means, when these jonah people are oncall, the worst and the most bizarre cases will trudge, be rushed or be wheeled into the A&E that day. We have one of those in my hospital. Thank goodness she is only oncall a day a month! Imagine, during the one weekend that she was on duty, she referred a total of 12 cases! From upper GI bleeds to severe metabolic acidosis to multiple fractures. Surprisingly she remains good natured about it. Pass a cup of that positive thinkin' my way, kak TJ!

I've noticed that even though I'm not generally jonah, I'm not that particularly 'cool' either. One lucky MO once told us envious lot, that one night, she didn't get a single call from casualty and slept very soundly from 9 pm till the next day. How come I'm never that lucky?

I turned up early on my oncall day. The fact that I couldn't get much sleep and was wide awake by 5 am didn't help either.

We don't do rounds per se; usually we just do the discharges for post natal cases and then review cases that have been passed over by the MO in charge or oncall the previous day. Apparently it was rather quiet the night before and I was crossing my fingers and my toes that the quietness will extend to my period of duty.

and in a way, it did. The labour room only started receiving cases at about 5 pm. Staff syif pagi lepak siot. There were no life threatening cases - only a bunch of epigastric discomforts and two cases of multiple bee stings. The makcik I saw was stung about 20 times and still had stingers on her face! Nasib baik no anaphylactic reaction.

Tapi, at night it became busier. I only managed to drag myself to bed at 3 am and itupun, bukan boleh tidur lena. I kept anticipating the phone to ring. So, again, at 5 am, I was wide awake; must be the adrenaline. So, a quick shower later, I dragged my sore feet and very sore and now callused thumb for a quick round of the cases I admitted. While waiting for the next MO to take over, I even managed a quick discussion of a case of afebrile seizures that I admitted last night.

Tapi, yang pelik sungguh tu......there were NOT A SINGLE motor vehicle accident case at all last night, which is maha weird for HTM.

Tired as I am (still unable to get any sleep since returning home this morning. Even managed a leisurely shopping trip for beads in KB), I have no complaints. This is my job. This is what I've been trained to do and I love it. but of course, not as much as I love the sensation of being post call.......

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