Friday, November 16, 2007

It's half two in the morning and I can't sleep...

Thank anyone it may concern for internet connection at the labour room! It's 2.40 am and I can't sleep. I know I should be, but I never sleep properly when I'm on call anyway, and I can always sleep tomorrow.

Maybe I'm just racked with guilt. A man was brought in just past midnight for tendency to wander, not sleeping and talking inappropriately. Apparently, he is a known case of schizophrenia and has not been taking his medication for quite some time. I had just returned from KB after escorting an unfortunate case of cord prolapse and am not in the best of moods, and certainly NOT in the mood of seeing a loony at midnight.

I noticed that people tend to abuse the casualty department and treat it more like their come and go clinic. Imagine having to see a case of a week old kudis at 11 pm at night? Tak ke membara dibuatnya? I've had no qualms about telling these people off for misusing the A&E and I certainly made my feelings clear to the relatives of the mentally unstable guy squatting in the middle of my casualty department.

Tapi betul ckp DBI, lepas marah, rasa bersalah tu berat sgt di hati and menyesal sangat tapi inilah masalahnya bila berckp terlalu mengikut perasaan and emosi.

I had spent the afternoon practising my sutures. The early part of the afternoon after office hours was rather quiet that it gave me butterflies in my stomach. It was like the calm before a storm, you know? My storm came in the form of a primigravida with twins who actually had been planned for elective caesarian section in two weeks. She came in labour and had spontaneous rupture of her membranes. Since her first twin is lying transverse, surprise surprise (NOT), we had a cord prolapse on our hands. Within 20 minutes of arriving she was already pushed unto an ambulance heading straight to KB.

Sadly though, initial scan at the labour room in KB showed that the first twin's heart beat can no longer be seen. Sigh.

I hate days like these.

1 comment:

nila said...

what happened to the twins in da end? curious....