The definition of 'jonah'....

...is after admitting two nonagenarians, one of whom is now on double inotropes, at 4 am is still admitting patients with low blood pressure, and with an Acute Pulmonary Oedema case waiting at the casualty because now there are no more beds in the acute cubicle in the ward.

but I suppose, that doesn't beat escorting cases to HRPZ II five (yes, 5) times on a 24 hour shift.

I've been back to KL during the extended weekend. Sometimes, returning to the west coast is like going on holiday in a another country. Cars are faster, the people are more wound up, houses and shopping areas bigger. I ended up coming back home a day earlier than planned, much to the chagrin of Ma, because I involved my cats in it.

By the way, Verver is now missing for a week. I was on call and Abg had let them out for the evening and she never returned. I'm convinced she has been hit by a car or motorbike and has gone to die somewhere else. The lack of closure is making me uneasy. Sad as it is, I'd rather see the body and know rather than left wondering.

Anyway, I'm up attending to the case of the nonagenarian with cardiogenic shock and also sepsis. Man, of all the things to end up with at 92. It has been sort of a "Hari Warga Emas Sedunia" today. I had gone to HRPZ earlier today escorting a case of peritonitis. She was 81 and had just returned from a family holiday in Penang. Her blood pressure wasn't great when I left her in the care of the Surgical MO.

I'm not sure whether it's a good idea staying up, hoping that the three hour-sleep I got from midnight is going to be enough, but it is Thursday today and I'm always hopeful on a Thursday.