I was on call again yesterday...and i had 3 admissions...all 3 of which are neuro cases..argh!!! the 1st 2 cases came before office hours...so i managed to settle them fairly quickly..but one of them were going for op...the 3rd patient was an MVA case under alcohol influence..came in around 11pm... no offence to human life, but i really get irritated with ppl who get themselves drunk and then still drive and get into accidents..i mean, why can't they just die and not give problems to other ppl? they really brought it upon themselves...
I only pity the patient's wife and kids...so anyway, this 27-year old guy had right temporoparietal subdural haemorrhage and was intubated for low GCS..and the neuro guys asked for ICU bed coz the patient had to go for op...gone were the days when patient go straight for op and then get sent back to the neuro ward for ventilation...now we have to take all these patients when they don't even need ICU bed..anyway i really lost it on this patient...i think i become quite irrational when i lack sleep...i had problem setting arterial line for this patient coz he kept pulling his limbs away when i poked him..twice i got the line in and he pulled away and i lost the bloody line...i got so pissed that i hit the guy's shin..ouch!!! hurt my hand instead..crap!!!
anyway, i got to sleep a bit...coz the patient went for decompressive craniectomy which lasted for 4 hours...pity the OT guy...sigh..guess it's all in a day's work...
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