Two MVAs with the name of Asri, both with lip lacerations.
Two broken wrists.
Two fractured clavicles...
and two resuscitated babies.
Basically that summarises my on call yesterday.
Seriously, Sundays are the worst. Sundays are when people with eye injuries come for follow ups, or MVA cases with abrasion wounds come for medical leave. Casualty medical assistants (MAs) will give appointments (aka TCAs - To Come Again) on a Sunday for cases of fever or loss of appetite or lethargy. and Sundays become worst when three of your colleagues are away for leave or courses. J has gone to Genting for the Annual Anaesthesia Conference (Genting?! Best siot...), L has gone off somewhere for a course and apparently is planning to take the rest of the week off. Weiii, dah dah la amik cuti tu.....org lain pun kerja gakk...and N is taking a well deserved break after all this time covering other wards.
OPD started really late. I thought I was assisting the Nephrologist at the Haemodialysis Unit but after waiting for more than hour, turned out that he forgot about his clinic. One MO went for the Renungan Pagi and the third MO was covering the female ward, Post/AnteNatal ward and labour room. So, obviously, clinic finished late.
At about 11, baby case number 1 arrived. Apparently had been having loose stools and vomiting for the past 5 days! Mother only brought child to a private clinic and even that morning, had gone to ANOTHER private clinic before being told to rush her baby to our casualty.
Seriously, he was a textbook case of severe dehydration - kalau nak tgk depressed anterior fontanelle and reduced skin turgor and dry oral mucosa, he was IT. Child was about 2 months old, a firstborn to a young mother - mother was understandably distraught beyond words.
Sedih tau bila kiddies pass away. Adults, you can easily accept, especially elderlies with bad premorbid condition or ex IVDUs who are 'well underway'....but kiddies? It's like the grief of the parents and grandparents wash over you in huge tidal waves.
Baby number 2 arrived about half five or six I think. Pale as sheet and in obvious respiratory distress. Mom was nonchalant about the condition of the kid, claiming the problems only started 'JUST NOW'......This is where my Dr House persona kicks in. Cannot laaa.....how come this pale only started just now? Called in my 2nd call, intubated the child and resuscitated her. BP managed to pick up but she looked ill. I'm still wondering if sepsis could have resulted in her Hb of 5.2. Stool watery but no blood, abdomen soft, no history of G6PD deficiency....
Only managed to grab dinner and bathe at 10pm, only to rush to casualty again for a case of UGIB (Upper GastroIntestinal Bleed), my long neglected post MI regular customer and ambulance-call SOB. Then Asri number 1 came in after allegedly skidding on his bike. Pecah habis bibir. Second Asri came in at half one, berlanggar lembu and also had a torn open upper lip. Dua-dua referred to Dental and ward nurses still managed to send him late to the Dental Clinic despite me writing in the BHT - DO NOT BE LATE....isy.
Today, there was hoohaa in the hospital as the new Pengarah has now come officially to take over. The Timbalan Pengarah Kesihatan Negeri was also there. So I don my white coat (specially reserved for occasions like these...hehe) and wait for the procession to come. Lama la plak duduk dlm bilik, TPK menanya makcik and her daughter about the complications of diabetes. I was silently rooting for them to know the answers, as if them getting the answers right is a reflection of me. Weirdo or what. Hooray for anak makcik who got the answers right! I could hear the new Pengarah saying something about why both fan and airconds are switched on at the same time...aiyak...and on the only day when I don't come in and switch off the fan plak tu.
Safe to say we are all waiting in anticipation (or in fear?) of the new Pengarah. Winds of change are approaching all right, whether bawak bau wangi sepoi2 bahasa or bawak tornado ala Katrina is what we would like to know....
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