Bed sore grade 4. Ha-ha! No new case overnight, all patients were stable and I get to sleep well till 5 in the morning, just 2 blood coming morning to be taken. Alhamdulliah, what a wonderful night!
This is my third call in orthobots.
My tens call as a doctor, cannot remember dah how many.
But I can still remember my first night call, disaster!
11 cases overnight, there was unstable patient in acute, on NIV settings, desaturated. Called for my mo, and he's busy, so I just managed whatever I could, and alhamdulliah nothing worst happened. Blood coming morning hmm, I like almost all patients in the ward, blood had to be taken. The most difficult and irritating part in blood taking is when you gotta take blood from chronic illness patient plus very old one. Susah sangat. Especially in ESRF patient, then need to spare one limbs, while the other already bruising everywhere, veins collapsed, the only thing you can withdraw from is from the artery. And it is DAMN PAINFUL man. I tell you, because you just poke blindly into the area which you feel the pulse most palpable. I like to take from radial pulse and brachial. If it is damn too hard, my next and last resort preference would be the femoral line.
That night, most of the new cases were pneumonia. So...when there is infection going on, we need to take blood culture and sensitivity, done under aseptic technique, need to wear apron, sterile gloves, need to maintain the sterility lah if not the result will be affected, because the blood already contaminated. I took a total of 7 blood c&s overnight. Blood gases pun banyak. I went back at 3 pm the next day. Barai nak mati. Not lying. My oncalls in medical were eventful in which no time to sleep or chill a bit T.T My highest number of new cases overnight was 14 hmm...
Jonah.
It is not a medical term. I dont know where does this word come from. Jonah used to describe someone who has the ability to turn things from calm and chilly situation into a rainstorm. Like when the person come, a stable patient suddenly become unstable, desaturated requiring high flow oxygen, or worst case scenario, CPR need to be commenced. A chilly ward suddenly a flood of new cases come. Whenever you feel like you're free, dont ever express it, wow so chill lah no patients, freenya, rasa boring pula. Dont ever say that. Out of no where, all of sudden you dont even have time to sit! Ha-ha. Seriously!
My oncalls during lockdown paling heaven. Few or zero admissions. Most of the time can lepak and tidur. Yelah siapa je taknak oncall yang chill chill kan? :p However, no matter how well I slept in the night, I still feel sleepy the day after, sooo every post night I will sleep! At least 2-3 hours pun dah already enough for me. I dont need a long nap pun.
One of the best thing here we can request for off day before or after night call. Some days I would prefer my off day prior my oncall, some the day after. Thank God, in my hospital we get a solid day off weekly. I heard there are some hospitals dont allow their houseman to get a solid off, their reason, not enough staffs. Hmm. No commentlah.Whateverlah, yang penting our hospital give us a solid day off :)
I would recommend those who are currently waiting for housemanship, come do your ho-ship in Muar, sebab best sangat, just joking ha-ha. My advise will always be the same, choose the one that is close to your family. Apa- apa hal senang, because housemanship is a tough time, you really really need a good support system, and having your family close to you is a bless.
Nanti-nanti,
:)