Patients came non stop.
Room 8 started late at 9am after a mishap involving the doctor's car.
First patient already jaundice. She came last week, seen by a senior doctor, only did UFEME, noted as leukocyte 1+, and diagnosed as ? UTI. Bilirubin and glucose 2+ were totally ignored. She came back again today with 4 months history of weight loss, 2 weeks scleral icterus, dark urine and pale stool. Bilirubin raised, ALP raised, and haemoglobin low. Underlying diabetes. Obstructive jaundice. Admit surgical ward.
While I was busy with the admission, a young man came, number 7045. He kept asking why this number hasn't been call up. We have not even call 7039, and it was 10.05am. What, do you expect me to see 45 patients in 2 hours? I said, you need to wait, what is the emergency? If its emergency, please go to the emergency department, if not, you still have to wait. Do you see many patients waiting outside, or was it just empty clinic? I have admission to settle some more. Really annoying. It turned out later that he only brought her mother for follow up for diabetes and hypertension, not even on appointment date. They requested for a transfer to health clinic, which I happily wrote thr letter and off you go, out of my sight!
Another rude old man, accompanied his wife for follow up, first mentioned about seeing a senior male doctor before, but this time they were okay to see me. This uncle was saying that they were refused by the staff at the screening counter for blood pressure check. Gila lah! I look straight into his eyes and said, uncle, cakap baik-baik, ya. Aunty takda buku, sebab tu tak boleh check terus, kena jumpa,doktor dulu baru check. I think my blood pressure raised,not the aunty who has hypertension!
What an irritable morning!
Three admissions:
Symptomatic anaemia secondary to menorrhagia.
This time, the PPK were really ignorant. My assistant clearly told him to send the patient to labour room, but he sent the patient to unit hasil for admission! Next time, I will instruct him myself and ask him to repeat my instructions.
Obstructive jaundice for investigation.
I admitted her to surgical ward and they never call. Safe.
Right foot gangrenous diabetic foot ulcer. Admitted to orthopedic ward, probably needs Ray amputation.
One medical report pending, and a few take home work!
Total of 101 patients!
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