lunedì, luglio 26, 2004
:: night duty ::hmmm though i gave up one sunday for night duty, it was REALLY worth it! quite fun n exciting but tiring...
the good thing abt night duty on sunday is that i got to see all the new admissions over the weekend (before they get clerked to 'death' on Monday)... yeah... i saw a case of significant PR bleeding, diverticular disease, intestinal obstruction... and also experienced how things become when emergencies start to crop up. according to su it's a F up day. probably, poor team 1, i think they didn't get any sleep at all! couple of bad stuff like patients collapsing, taking a turn for the worse, and even deaths. there was an emergency op in the afternoon though, too bad i wasn't there. the new admissions included an old man wif acute pancreatitis, i hope he pulls through! he was in such great respiratory distress.... haiz... and his family and all that... hope he'll stabilise soon then they can start definitive treatment. was also a case of urethritis suspected to be gonoccocal though the pt denies it, he also had a right indirect inguinal hernia! surprisingly, that didn't cause any problems for three whole months! (pretty obvious somemore, i think it's the pubo type)
i got to practise more hokkien since they didn't really speak it... (we were a v multiracial lot yday night... haha) hmmm saw an interesting social part of a casefile, tomorrow i shall go talk to the patient. got to set plug, take blood, saw almost all the procedures we were taught for OSCE done on just one patient! i really learnt a lot yesterday night, not just from active teaching esp fr gurmit & su but also from observing how R communicated with the patient's family and the rest of his staff. i believe this is a skill that must be learnt well.
anyway, to the most 'exciting' part of my stay... first there wasn't a room, normally shld have a duty room in ward 4 but.... someone took it!!!! AHHHHH! but the docs were really nice, when they were free they helped to ask around a bit and finally, heh heh, lucky me got to chk into ward 7 bed 1. private ward leh.... good siah... but... um... other considerations (it's a patient bed lah, who knows what hap before in tt room rite?) i'm supposed to peng4 gui3 before 12midnight yday cuz i stepped on some urine on the ground, but nope i didn't. i was looking out but nah, didn't see nothin'.
ok... and take a deep breath...
i assisted in an operation (omentum used in patch repair for perforated ulcer in d1) woohoooo! previously that night, there was lots of worry and speculation for this patient, (he was originally diagnosed as ARU) this made R pretty upset. cuz... when a person has ARU, have to confirm diagnosis by catheterisation. but it wasn't done previously! so upon catheterisation, found out that he DID NOT have any urine output, obviously this wasn't an ARU case! tsk tsk... scrubbed up in record time, op started at 230am, ended around 4am, was nice of dr g to put my name in the op notes too! i tot i would leave my mark as 'medical student' hehehe but i got sth better. i'm glad that at least they've figured out what was wrong with him. he had so much so much coffee ground aspirate they couldn't even do an OGD! and soooooo much, like a pool of melaena! phew!
i believe there was another op for prolapsed haemorrhoids around 430am or 5am. but anyway R shooed me off to bed.
well, i think that although it was a 'good' night duty for me, it definitely wasn't for the patients. i guess i can't do much to help them directly, but i could offer them some sort of comfort in their convalescence and hope that they recover without sequelae. and of course, i should know their conditions at the back of my hands, i feel it's a sign of appreciation for the privilege that i've been given: to observe, to examine and to assist the docs.
about me
francesca chiu
2 eyebags & 5 wrinkles
on long-term dormicum drip
KIV IMH
icq: 58631104
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