1. A female teacher in her 30s, came in with walking frame to continue her diabetic follow up. She already defaulted her appointment many times before. This time, she complaint of swelling over right upper back, which did not appear like carbuncle or any infective lesion. She started asking for admission, until I had to explained that she did not have the indication for admission. Kindly be more compliant to treatment, rather than requesting for admission. This is not private hospital where you can pay for your desired bed. And she talked too much!
2. A 61 year old man presented with a three day history of weakness of limbs, slurring of speech and drooping of right side of mouth. He had a fall prior to symptoms. He was brought to ED yesterday for fever and was told to come to OPD the following day for CVD screening. So fishy. ED doctor did not admit patient with CVA symptoms? Or the family members refused to do so. Three family members were with him, looking puzzled after I instructed for admission. And they still regard his stroke symptoms as mild!
3. A mother brought in her 4 year old boy with fever and cough for ten days. They already visited ED twice. The mother gave me such a friendly smile. Apparently she remembered me from the ward. The boy had multiple history of admission for viral induced wheeze but he was previously named with a different name!
4. A man originally from Perak came in with his first statement " Saya nak minta doktor tulis MC untuk saya hari ni saya tak dapat pergi kerja". What??? Do you think that I am the MC producer? At least give me your presenting illness first. This type of patient will never get a second MC from me!
5. A Chinese man in his early 50s came in with his young son. He struggled to deliver his history of injury in Malay language. At least he tried his best. And his son was able to understand yet unable to speak back. Just make sure your son learn his language properly, and both of you will do fine!
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