My last entry was the night before my call on wednesday. Its sunday today and i'm damn knackered !!!! HAks.. don't have any plans yet for today. Managed to catch the Live 8 thingy till midnight but i was too tired to continue after we came back from uptown ; kena layan la my wife's craving for Jenny's kuey teow.
Started my ICU posting on friday and straight away i took the option to be on call on that day. It was a tagging call as i'm very new to the unit. I thought that it would be ok even though i was already on call on Wednesday. EOD call kan.. ok la.. but i was so wrong !! haks..
Wednesday's call was bad as the cases went on and on till about 6 am. My partner was operating the other OT so we were doing big cases hand in hand. I am definitely the Jonah guy lor.. and paired with Azrin ( the specialist ) ; calls will always be terrible !! haks.. The thing was about that night , we were doing other people's shit cases ; eg having to RE laparotomy ( openig the abdomen ) for leak , peritonitis , failed embolectomy . We were lucky though as the cases which was suppose to come in were not stable yet. In line was 2 ruptured AAA's and one axillary-femoral bypass with Left leg BKA ( below knee amputation ) having an ejection fraction of only 21%. Haks.. ni pass over to the next day nyer on call person lar..
The next day.. i slept like a baby till late afternoon. I was so tired !! Being on my feet for 24 hours was really exhausting ! haks..
happily i started my ICU posting on Friday morning. The tiredness was there but when Dr Tai ( the consultant) asked me whether i am ready ..i said OK.. no problem.. ( kononnya macho la ! ) hakss... and there i went , running around HKL with a tool bag ( our intubation kit ) in my hand . saving lives they say.. but it was quite fun especially going back to P2 where i used to work at. I was tagging kak Fadzlon and kak MUz. MY ICU team consists of the good and hardworking doctors ; IZan , Jalil , Kasturi and Aktar.
ICU care is pure medicine on the go. One has to have strong basic knowledge in medicine to manage ICU. My first day was a horror - the referrals were coming from left , right and center till our beds were full. Dah la tu , then one of the patient bled - UGIB with really fresh malaena ( black stool ) . We had to arrange an OGDS for her and it took quite some time to stabilize her as her BP kept crashing !On top of that , when we decided to reintubate her , she went asystole after the intubation !! Mak aii.. nasib baik 0.4 mg of atropine was enough to stimulate her heart.. We manage to bring her to the OGDS room. Luckily Dr Raj ( the gastroenterologist ) knew me so saved Kak Fadzlon the blushes when her ulcers did not show any evidence of bleed at 2 am in the morning.
Wow.. tu baru first day and i was floored yesterday. Today's rest should be sufficient for me to start a new day tomorrow..
3 comments:
Oh heck! So busy nyaaaaaaaa! But then you get to work with so many people. Nice
haks.. well , its the main hospital in kl and i cannot escape this kind of life.. but so far ok lar.. i like the adrenaline rush..
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