My main concern before I join the department was how do I deal with the frequency of patients needing resuscitation, especially during oncall times? Now, resuscitating patients are part of my routines!
Patient collapsed
When patient undergoing haemodialysis suddenly developed hypotension, and your MO was unreachable, all you do is to withold the dialysis and start inotropes, since the patient can't tolerate fluid resuscitation. Here in this department, you work more independently, when you can't contact your MO, you better do something, as long as patient survives!
When initiating resuscitation, remove your white coat and the hanging name tag, but make sure your stethescope is reachable.Emergency trolley must be pushed to the bed, pull the curtain, put on cardiac monitor, ask the nurses to prepare adrenaline/atropine and ask them to call MO.
On our first day in this ward, two patients collapsed and unable to revive :(
Today, a patient collapsed for the second time, at about the same time as yesterday. I joined in the team to help, and alhamdulillah, during my chest compression, patient's heart beat came back and he survived. What important is not the outcome, but the effort you have put into. I could have just walked away and let my oncall colleague handle it but what if the patient is your relative, would you stay and help all out or leave?
Misi oh Misi
Tired of being called Misi. I don't look down on Misi, never do I, or will I, but I just can't tolerate those who simply call us, the female HOs, "Misi" just because we are all female like the nurses. Yesterday, while me and Vadi were doing morning reviews, a man came asking about his father's diapers size. He spoke English (that means he is somehow educated), but he called us NURSE.My friend spontaneously answered him, "We are not nurses, we are doctors. The nurses are there, you can ask them". The man was like, "oh, uh..uh".Seeing him in "shock", I just gave him some advice about the diapers (since I am taking care of my grandma, I know some things about adult diapers).
Today, a son in law came to me asking about his father in law.He called me Misi.I said, " I am not Misi." He laughed..then continued asking the questions.Okay, fine, maybe he came from a village and not that educated. I could tolerate that. In the evening, he came again, calling me Misi.My oncall colleague corrected him, "Ini bukan Misi, ini doktor." He still laughed and continued asking.So, what do we call this?
When we were walking to the auditorium for a meeting, a woman stopped my colleague by calling her Misi.She wanted to ask something, My friend just smiled and responded to her query.Ehem, my friend is a tall, slim girl who really have the look as a doctor. But still...?
Consultant Who Needs A Moral Education Class
He is a consultant radiologist but he acts like a billionaire who doesn't mix with people. Every time when you went to see him for some imaging, he will just ignore you totally. Like you are begging for his money. Like he pays for all the imagings.My friend who went to see her earlier just showed the imaging form in front of his face after he ignored her once and just walked away.Me, being a bit more patience, I just waited and waited, standing there like nobody business, until another consultant radiologist came and asked me, and I finally got the approval from the other consultant who wasn't even in charge of CT that day!
In the evening, I was supposed togo and get another outpatient appointment for my patient but I specifically told my MO that I can only take the next day as I can't tolerate one more "mute moments" from the consultant. He understood (maybe he had experience it before) and allowed me to go the next day. Alhamdulillah, I got an early appointment by a better radiologist the next day.
Weddings
I sincerely apologize to all my friends who invited me to their weddings, but I couldn't make it.My classmates in MRSM got married last weekend but I was working all day. My colleague last minutely invited me to his wedding in Kedah but I couldn't go as well. My junior who got married few months ago and currently pregnant - I started tagging in my last department during her reception and I started oncall in that department on her husband's reception day. My Indian colleague's wedding on Wednesday last month - also I couldn't go as I was working PM shift till 10 pm (but I only went back at 11.30pm).I was also working till 5 pm on my secondary school friend, who invited me 2 days prior to her wedding via SMS.
Again, I apologize for all my absence. And to those who did not invite me (because they invite via Facebook but I don't own one), I don't feel left out, but instead, I am thankful that I did not receive the invitation, hence, I don't have the responsibility to go...
Hoping and giving up
Unsure how and when, but I really have high hopes to go to Kelantan, particularly a few places...The best time to go is before the general election...
And I am giving up on something that I think is not meant for me.Once its deleted from my life, it can never be retrieved back.I think this is the best.
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