venerdì, aprile 08, 2005
:: an utterly depressing end to a long and depressing week ::suicides? depression? husband abuse? young guy drowning... student overdose on pills... young lady with possible psychiatric disorder and insomia... elderly labouring so hard to breathe, hemetemesis (vomitting blood), hemoptysis (coughing out blood), AMIs (heart attack), seizures, dislocations, fractures, cancer metastases... i was so looking forwards to the weekend for a good rest and study, but i cannot help feeling rather 'off' by all the recent events. i really like emed, and i could even consider doing next year's elective with the department, but i wonder if i'll be satisfied just to stabilise a patient and then admit or discharge him off... w/o knowing the ultimate outcome? or perhaps, it would be better this way? do what i'm supposed to do, and let the relevant speciality do the rest?
just this week, saw 3 cases that got me quite haiz... even more haiz, is that i refer to them as cases, haiz... sounds so dehumanising... would like to write about them here, but unfortunately a blog is public so it wouldn't be nice of me to do that...
just imagine, you are on holiday, your child meets with an unfortunate accident and the doctors barely manage to bring his heart back in the A&E... then your child gets sent to the ICU... condition: extremely critical. The DNR order was given, with your consent of course... DNR means do not resuscitate, ie. if patient's heart stops, do not do CPR. it's probably one of the saddest things a parent has to do... to decide to let the child die... if the heart fails a second time... check out about DNR it would be useful to learn more about it. so sad so sad... i wonder haiz... perhaps it's all for the best? sigh.
haiz...
now, dopey shall undergo a MOOD SWING!
just blogging so u guys know that i'm still alive. and wenky, yes, i have blood in my veins ok... :/ in case u were wondering, keke, it's not bandung :P can u imagine, just fix an WIDE bore iv cannula in me and u get a running tap of bandung? lolz... oh manz, i'm turning morbid now.
i have the utmost respect for dr N she is so astute and understanding! like wenky was saying, she managed to differentiate chest pain due to anxiety just like that... just snap, one question! woohoo! how did she suspect tt in the first place? and then, today, this pt i saw whose history got me all confused... dr N was like.... oooh she zoomed into all the impt areas just like that, and what impressed me most was that she did it in a way that was very natural, the patient just poured out her problems... i was dumb-founded. i think dr N's one of the most humane docs around, i definitely must give her glowing comments in the feedback form. and i absolutely loved the really effective way she calmed a patient who was in lots of pain (half of which was psychogenic in origin) and set a plug really quickly! wow! my idol manz!
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francesca chiu
2 eyebags & 5 wrinkles
on long-term dormicum drip
KIV IMH
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