Spices of Life

Setiap yang bermula pasti ada penghujungnya. Hanya tinggal sehari sahaja lagi untuk bekerja di jabatan ini.Hari Isnin ini adalah night shift terakhirku dan Selasa tengah hari aku bakal meninggalkan jabatan ini.

1. Paling chill
- benar, memang jabatan ni paling chill seperti yang dikata orang sebelum aku join lagi.Chill, jika dibandingkan dengan jabatan lain.Boleh datang pukul 7 lebih, boleh pulang tepat pukul lima,tapi aku tetap maintain 6.45am.Kadangkala pulang lewat juga especially bila rounds petang dan ada banyak procedures.Yang seniors ambil kesempatan untuk datang lewat.Malah ada yang escape review kononnya ada OT duty.Yang juniors pula relax sangat sampai kurang berusaha untuk cepat belajar.New case pun senior yang clerk,procedure pun senior yang buat, habis bila junior nak pandai?

2. Komunikasi
- paling rapat dengan MO, dan seorang dua specialist. Yang penting, aku tiada masalah dengan mana-mana MO.Yang bipolar lelaki aku jauhkan sebaik  mungkin, yang bipolar perempuan, baik pula dengan aku.Dia marah-marah orang lain, bila dengan aku terus senyum-senyum.Hahah,ada daya penarik agaknya.Dapat bekerja dengan tiga MOs, the triple F's yang paling best.Namun tak sempat bekerja dengan specialist yang berjiwa rakyat, sanggup duduk semeja dengan HOs dan buat kerja-kerja kami.Satu dalam seribu.Juga rapat dan kenal dengan semua HO.

3. Jadi chief
- Berpeluang merasa menjadi ketua selama sebulan.Serabut bila buat duty roster, tapi advantage untuk diri sendiri.Masa bulan tu specialist dan MO incharge tiada, so I was not bothered by anyone.Co-chief pula sudi buat duty roster untuk tiga minggu pertama, aku cuma pening kepala buat dua minggu terakhir.Tapi yang tak bestnya bila nak buat ward rotation, terpaksa letak ramai junior di female ward, maka adalah orang tak puas hati.Itulah lumrah kehidupan, cuba berlaku adil, namun adil itu sangatlah subjektif...dan kita hanya betul-betul faham bila berada di tempat itu...

4. Eye opener to surgery
- it is a surgical based department, dulu masa di Surgery aku tak belajar banyak sangat, maklumlah first posting.Sekarang baru celik mata tentang itu dan ini.Masa assist dalam OT pun tidak kekok lagi, tahu tugasku apa...

5. Anti-jonah
- setakat ni rekod admissionku adalah enam...harap-harap Isnin ni aku takkan pecahkan rekod itu.

6. Rapat dengan team mates
- ada beberapa individu yang aku appreciate sangat bila mengenali mereka.Aku senang bergaul dengan mereka.Mereka pun ikhlas berkawan denganku.Senang kerja bila baik dengan ramai orang, senang nak minta tolong.

7. End posting leave
- first time dapat straight 8 days plus 2 weekends leave.Dulu di Medical pun dapat 8 hari tapi kena buat oncall juga sebab semua orang pun EOD calls, tapi kini alhamdulillah, cuti pun dah approved, tinggal nak settle logbook saja.

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My active call in male ward yesterday:

Started with annoying call from first class female ward, a patient who had just transferred out from class 3 ward to class 1, requested to go back to the former ward, due to unable to bear the coldness from an air conditioned room.I had to travel from Block C to Block A just to counsel her.Ahhh!!!@#$%^&*

First case came in.Alleged industrial injury with degloving injury of right middle finger.Had to do toilet and suturing which was done at 1.30am.Luckily my local anaesthesia worked and he was a good obedient patient.

Second case...chronic osteomyelitis of right tibia..claims had maggots came out from the wound two days ago.He was discharged the next morning.Shouldn't admit him in the first place.

Third case...alleged MVA with open fracture bilateral lower limbs..poor this 68 year old pak cik, should be careful when riding a motorbike..he hit a stationary car and ended up with broken legs.The whole family (like a bus, maybe?) came to visit him immediately that night.Yet they were all very good visitors, did not make any problem to us.Me, my MO and the tagging MO (double F's) attended the patient and irrigated the wound together.

Fourth case...alleged fall while playing football, sustained midshaft fracture ulna radius.Poor him..needed to go for an operation.He was just playing football...

Fifth case...referred from district hospital...dislocation of PIP joint and tendon cut after his motorbike skidded..after being hit (he claimed) by a police officer.Also booked for operation.

Last case..left hip dislocation..which reduced back in place after multiple CMR...by the time he arrived in the ward, he was quite drowsy after a cocktail of sedation given...

But, the most annoying event was...the same patient who bothered me at 2 am during my last call..
We off his urinary catheter at 2pm, so at 12 am he started shouting as he was still unable to pass urine.This patient was still stucked with us as there is no bed in the periphery hospital.There is no point if we reinsert the catheter..he still fail to pass urine on his own as we would like him to do so.In the end, I put in one nice big size catheter for him, which easily went in.Hah,crystal clear urine came out nicely.

Then he was still shouting for nurses...okay, this time he wanted to defecate.Fine, go ahead...during his activity, he sounded like someone who was giving birth to a macrosomic baby :).When the urine bag was almost full, there he goes again..this time he complaint of feeling pain everytime the urine passed through the tube. He even said that the tube did not went in properly, that is why he was feeling pain. Then, the full urine bag, belongs to the uncle next bed is it?What??? Despite advise about trauma and risk of infection from frequent catheter insertion, he still insisted on removing it.Okay, the nurse removed it.Shut up.Then in the morning he claimed he passed urine three times.What???@#%^&**

Hahah, he even wanted to complaint on the MO in charge of the periphery hospital for not wanting to take him in.There is no bed, how to accept him,please think wisely uncle...

Hmm....the spices of life.Now I think healthcare workers should start complaining about our customers...instead of them complaining on us...we have our right, right?