Busy weekend

caught unaware 

Did my first call on Saturday !! haks.. it was the emergency General OT call !! I was lucky Basir was on call as well ; learned wuite a lot on how to handle cases OUTSIDE the OT !! hahaha.. he is loud but i guess effective in getting things done.The call was good - slept from 2 am onwards ; no pending cases all done by then.

It was quite scary at first when i was left alone in the OT. Heks.. during emergencies ; Specialists will not always be available and one has to make decisions fast. This is different from the elective list where somehow or rather we're quite protected. But i suppose i have to be more independent as i cannot depend on them all the time eventhough i'm a rookie.

I was lucky that all intubations and intra Op handling was uncomplicated last night. Unlike Eric who was struggling with the trauma call. It was a nightmare for him when i was asked to help out the bleeding patient. It was a 72 year old indian with fracture neck of femur. He was bleeding like hell and his BP was crashing. He was panicking and so was my specialist !! hahahahaha... we managed to complete the op but the outcome did not look good. His ECG t waves were flattenin.. and that is not at all encouraging. dont really know what happened to him after that because he went to ICU.

My Laparotomy for intestinal Obstruction went OK. Initially the intubation was a bit tricky as his teeth were like everywhere !! hahaha..if i were to lever my laryngoscope carelessly , any of the teeth would have gone !! hak.. it was quite funny manipulating as the nurse was asking me what i was doing..it was a bit unconventional but haks.. the tube went in anyway !!! His BP went down towards the end but it was managable. haks.. As long as they are ok going to the ward.

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It was suppose to be a cool day today post call , but the stupid indian car washer decided to lower down my car window !! you guys know "lah" Proton cars with their power window. I've sort of not switch it on for like more than one year.. and this bugger decided to do it when i sent my car for a wash today !! Really spoiled my day.. cause i cannot get it up sealed again !! Damn.. luckily Haniza is not using her Kelisa.. looks like Kelisa ride to the hospital for the coming 2 days..

Why i'm up so late is because i 've just completed my draft presentation for the Mortality report. This was a Gynae case done late last month. I have to return the ticket tomorrow to OnG boss and i only started looking at the ticket about 9pm today.. woooaahh.. manyak letih ooo.. Haks.. well , it was not my fault that the patient died ; quite interesting on how her BP crashed after extubation. She really had a bad metabolic acidosis but her renal function was perfect . Hmmm.. i'm suppose to comment on that ; i'll do that tomorrow !! haks.. just finished copying all the results and facts from the op.

btw - I'll be going for HKL's induction course for a whole two weeks next week !! Woohooo..cuti panjang maah !!! haks.. i don't mind going ; though at the end of the course i am suppose to pass the PTK exams. IT is something to do with my confirmation as a government officer. In a way it is not so relevant with my current career , but being in the government of Malaysia's pay scale.. amik la.. Well , i love these things and i don't mind going for it !! Its always enjoyable they say !!

Ok la.. terpanjang lak tulis.. haks.. nanti la..sambung esok..