Pertolongan Allah

La haula wala quwatailla billah...
Ku ulang-ulang banyak kali. Tiada daya dan kekuatan kecuali dengan pertolongan Allah. Allah yang melancarkan perjalanan kami dalam ambulans tadi, sungguhpun aku bertarung dengan rasa pening dan mual yang hebat.

Kelmarin dulu aku sudah rasa tak sedap hati. Bertukar oncall dengan seorang colleague yang MC dua hari kerana laryngitis. Makan tak lalu. Jamuan Tahun Baru Cina anjuran BAKTI aku abaikan. Hanya makan on call breakfast pukul 10.30am. Lunch hour...dapat referral dari labour room. Ada BBA case. Baby not doing well. Grunting, hypothermia dan hypoglycaemia. Terpaksa refer case ke SCN untuk CPAP. Pukul 1 dah di labour room, 4.15pm baru balik ke wad. Uneventful night. Hanya dua admissions, first case at 9pm, second one at 3 am. Even masa solat Subuh aku masih mendoakan yang sama - agar Allah permudahan urusan on call, semoga semua patients stabil dan tiada referral yang pelik-pelik.

7.15am, sedang aku angkut beg keluar dari oncall room, ED MO called, referred a case of 6  year old with cerebral palsy, presented with vomiting and breathlessness. Our regular customer.Aku suruh admit saja. Boss kan ada, dia boleh tengok dulu and decide later either needs to transfer out or not. Mujur aku tak pergi attend that case in ED. Sedang aku duduk review results, patient yang came in at 3 am tu fitted. Attended stat.

Generalised tonic clonic..aborted with IV Valium...for a while. Boss was called. Mujurlah ada team yang sangat bagus pagi ni. From staff nurses, to JM, to sister, to PPK...masyaAllah, alhamdulillah. Patient developed septic shock, and covered for meningitis as well. Surprisingly boss asked to refer Anaesthetic team for intubation. Can't she intubate?

Masa tengah busy resus tu, patient with cerebral palsy tu masuk. Aku terpaksa ignore dia. My colleague yang attended him. Difficult intravenous line, as usual. Tak cukup dengan itu, ada 3-4 admissions that early hours, before we send off patient yang fit tu. Another regular customer, patient with IBD tu pun appeared at the same time. Ibu dia tengok kami semua busy, dia minta diri dulu and promised to come back in the afternoon.

I was at the centre of attention when I took over bagging from my colleague, ready to move the patient to the ambulance. Every eyes in the ward was on us. (I hope) everyone prays that the child will be safe and healthy. Even sister ikut hingga ke ambulance and helped us with all the wires and tubes. The journey was quite fast despite the traffic congestion on Friday late morning.

Aku terpaksa turunkan my facial mask. Perlukan udara untuk bernafas. I knew that I was hunger for oxygen as I kept on yawning. My head was spinning. I was nauseated to the max. My empty stomach was really hurt. My last meal was my lunch at 5.30pm the day before. No dinner. No breakfast. We arrived safely. Patient did not desaturate, only struggled several times, despite midazolam and fentanyl.

PICU was full. Alhamdulillah they managed to arrange a bed for us. Syukur. Warm welcome from the staff nurses. 4-5 of them, happily received our patient. They continuously praised our patient for his cuteness (even though he is sick). Case was presented to Consultant Paediatric Intensivist. Such a cool and calm consultant. She did not even question or scold us for our humble management. She continued most of our plans. She did some history taking from mother. Alhamdulillah, things that she asked were exactly the same with my initial clerking. So I did not miss anything. Patient was well upon admission.

She explained about child's current condition and future near plans to the mother. Also, about the same with what I had explained to the mother prior to transfer. Mother seems to accept it calmly. I did not give wrong information..and I was glad that I did the explanation, and not my boss. Allah made it easy for me, alhamdulillah, subhanallah. Before we left, I whispered to the mother to keep on praying to Allah, she shooked my hands and thanked me. I really hope that she is satisfied with our management and stay strong.

Ya Allah, please heal our little patient, make him back to his healthy life and protect him from any unwanted circumstances. We all love him.

This is the thing that I really don't want to happen during on call. Yet, it still happened. A test from Allah. Allah never tests me with what I couldn't bear. He guided me through and made it smooth for me. Alhamdulillah.

La haula wala quwatailla billah...