You are currently browsing the monthly archive for June 2007.

What was the result of 36 hours working in hospital?

Answer is simple. Damn tired.  Even after I had 5 hrs of sleep as it is a non-active day for the ward.

I try to recalled what were the routines for the past sunday and monday

Sunday

7am-10am  Walk round and reviewing patients.

10 Sent blood for ABG. Arrh,,,,,it’s possible a VBG and had to repeat

11am – arrrh,,,second result still the same. Decided to let the pt off the hook. Wait for MO comment on the result

Free Lunch.  On-callers got free meals.

2-5 pm review patients and talk to them. Give AOR to a patient who want to have dinner before a op on monday.

Ward is full of visitors.

5 pm Got a call for assisting in the OT but my colleague helping out.

6-11pm

Same things , review cases and walk round with specialist and MO. It’s getting more relax. Look like it’s not a busy day in the ward.

Monday

12-4am sleep in the first class ward. It’s really cool coz the sky started to rain in the wee hours

5 am Woke up by nurse, reset a venofix and back to hostel and had 1 more hrs sleep before the sunrise.

7-11 – walk rounds. Reviewing patients.

11-1 – tracing investigation and settle the parking pass. Arrrh, the MA is so slack. It was still pending.

2-4 helping out at the outpatient clinic and sit beside Prof. Got 2 cases and got a man for his hernia repair surgery.

4-6 pm    Finished clerking new admitted case and sent her for abdomen x-ray.  Pass over to the on caller

What a day!!!!!!!!!!!!!

Setting Line 

It’s started yesterday and only god know that when it’ll will stop.

From most senior member to junior officers had their attempt to set up line for a ill patient.

Poor patient’s four limbs had been poked numerous time. Hope we find a good line soon and patient care can be further improved.

Saving Life

I’m not surprise at all when my colleague told me that a stoma was created to save his life. The disease is so extensive that it can’t be removed surgically.

He’s a young man with good mechanical skills; He supposed to have a bright future.

Abdomen mass just “pop” up out of nowhere after few months of abdomen discomfort.

Colonoscopy reveals the disease is in the colon;  One of the kidney was blocked;

The worst news had arrived, rare, highly malignant carcinoma which the pathologist need special stain to give their expert opinion.

Saving life is not so straight.

Let hope the next stage of management will help him.

p.s Post call; CME next week; more calls;

RK used to be equivalent to “Fear”.

And now, *** strikes a fear.

If *** is around, even simple task had becoming a horrendous job.  Being on the job for less than 1 month, tends to overlook detail and management plan.  He can easily identified it and you got a angry look from him. So, if he around, i felt like walking a landmine zone, steps into unexpected landmine despite great effort of avoiding it.

There is actually one cause for all.

The simple task of believe.

Believe oneself,

Believe your co-workers,

Believe others also strife hard to help people

Too bad, i don’t think he believe in me anymore….

I’d been a house officer for past 11 days now.

Today, i realize one of the  reason why being a HO is not an enjoyable task is you basically lack of empower rights.

Being posted in a surgery ward, the specialists to the MOs, tend to behave like robots.

Orders are being issued and the HOs shall implemented it. Some times the orders just not reasonable.

So, i decided to empower myself.

I shall and will try to have my own management with patients under my supervision. The patients deserved better treatment and care.

I shall empower myself