Tag Archives: district hospital

A Heartsinking Day

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If  you’re going through hell, keep going.Winston  Churchill

Friday is not supposed to be a hectic day. Friday shouldnt be stressful. Friday is the last of all weekdays. We must be able to scream out loud T.G.I.F!!!

I had springs in my footsteps early this morning. I was geared up to meet my patients. I was ready to implement part of my New year resolution → to dispense out more ‘patient education advices’ as opposed to just writing out their prescriptions. My smile was already plastered to the face as I greet the Sinar Jernih workers, our security guards and my staff when suddenly..

Source:http://m.inmagine.com

… the normally silent, early morning aura in the Emergency Department (ED) was polluted by someones voice. A psychiatric patient (only known to us medical personnels since she’s a regular) giving a colleague of mine a hearing, a rackett, a threat to throw her out of the service by lodging a complaint to the higher authorities.

Immediately, I was disheartened. This was going to be long long morning.

And I was right.

2 resus cases followed with many many yellow tags coming through the door. Its days like this when Id just sit a bit longer in the prayer room and wonder, ‘why cant these patients just stay at home and watch TV’.

Kurus

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“Learn how to be happy with what you have while you pursue all that you want”

Jim Rohn

Its my 1st day of work and I was met by exclamations of,

Wah.. dah lama tak nampak

Wah.. dah kurus

kihkihkih.. honestly, I was secretly beaming with pride. My hard work in the tertiary hospital for my 3 month attachment in the anaesthetic department paid off. I had managed to shed off a few pounds thanks to the ‘forced dieting regime’. [read : oncall with no eating time]. Mun aku pegi juak True Harmony apa jaklah ceritanya oh.. He he.

I however found myself fumbling and a tad slow as I tried to recollect my deep embedded knowledge on how to manage patients in an ED setting. Yalah.. its been a while. Id have to get used to seeing patients with uncontrolled HPT, DM, asthma, malingerers, trauma et cetera.

Team Jasin

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Zebulon Gant:

“When you understand the language, sir, everything falls into place”

Mr Husband: pahal kitak onkol lagi ujung minggu tok? kenak buli? bukankah MO ktk main ramee?

Minci: Menar.. tapi everyone still have to do max 2 weekend calls.. So I chose to do this weekend.

Alhamdulilah we are growing in numbers.. approaching near 16 functioning clinical MOs at the moment. Almost half are non Muslims which means that we can go RAYA!!! while the number seems like a luxury, I also pray that both old and new generation of MOs can work together and share their experience and expertise. No truancy. No eksen & idung tinggi.

Team Jasin.

Yes, I hope for a Team Jasin yang digeruni dihormati dan disegani by our respective colleagues in KK and also in the general hospital setting. Tok.. sidak di KK pun blh nganok kita.. apa celopppp..

Finally, submitted my claim

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“Money Get away You get a good job with good pay and you’re okay
Money It’s a gas Grab that cash with both hands and make a stash
New car, caviar, four star daydream Think I’ll buy me a football team”

Pink Floyd

WhaT? Lamak tok ko sik pernah claim duit oncall?

Ko oncall for free?

ko sewel kah apa? Bagus berik aku jak duit yah..

NO NO NO.. dgn duit itulah patient di ICU dpt guna Tazocin hokey… ha ha ha. ayat sedap hati.

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Perhaps its 6 months too late but it was kind of a resolution I made after delivering Baby Zeeq – to start claiming my oncall allowances. After all, I did earned them ayte?

While I can use it to pay for the car, the extras can be saved up for perhaps a trip someday to Japan : LAnd of the Rising Sun.

Cases that make you say ‘huh?’

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“Life it too short to deal with crazy people.”  

    Karen E. Quinones Miller

The longer I stayed in the Emergency Department (ED), the more I find myself thinking of how important it is for everybody to

  1. Have common sense
  2. Grasp some form of medical & health knowledge in order to understand on which circumstances do they have to come to hospital for help. One does not need to know in depth as to how a medical doctor should, just enough to recognise the red flags to a certain condition.
  3. Not misuse the ED for medical check up services and medicine top up just because you couldnt be bothered to wait in line and the polyclinic and yet refuse to throw a dime for a private consult. Boleh blah…

Having being oncall from 8AM to 8AM in an ED setting (despite being in a district hospital) is super tiring and when you’re presented with ridiculous cases, it just gets on your nerves. I had my fair share of cases too.

  1. Case 1 : Young man slept on his hand. Woke up. Hand felt numb. Went straight to ED. By the time he was seen, the numbness (obviously) disappeared. When asked why he had to come to ED for a straightforward problem (yalah.. ko tido atas tgn dirikpun.. mestilah ada kebas mula2.. kakya ko releklah dolok nak nunggunya ilang) he couldnt answer why. Pfft.
  2. Case 2 : Mother came to ED bringing her 7 year old sick child for every new complaint. Fever with cough came – fine, its ok, appropriate. Fever + cough + runny nose = came again. Fever + cough + runny nose + itchy  nose = came again. Fever + cough + runny nose + itchy nose + vomit purge after swallowing tablet meds x 1 episode = came again. I suggested admission, mother refuse. Just wanted an IVD for her child. LIke hellloooooo.. why would you subject your child to being pricked again and again for drip. Pffft.
  3. Case 3 : Itchy neck wanting Medical Certificate. Working as a clerk.
  4. Case 4 : Lose prescription script. Came to ED hoping for us to remember the meds she had as a patient in the hospital 2 months ago. I dont even take care of the wards. This is not a computerised hospital. And it doesnt help that the patient first dont know why they’re on treatment and secondly giving descriptions of ‘pil putih bulat2’. Pffft.
  5. Case 5 : Patient who complaint of so much pain and ailments but when we suggest for blood investigation and possible admission if it really is that bad.. refuses any form of intervention. All he/she wants is yup.. an MC.

Hmph. kepak nyawa. ntah apa jak kes esok di ED.