SQUEAL!!!! Just heard a wonderful news on the radio while i was bathing!!! There's a competition to win tickets to Khalil's Timeless Live in Taipei concert going on this whole week...oh gosh!!!! i'm hyperventilating....having palpitations...i think my pupils are dilated too....hahaha...adrenaline rush!!!
Oh Lord, you're really too good to me....now i only need to get through to the radio station when i hear the cue to call...please please please let me get through!!!! this is like a chance of a lifetime....hahaha, listen to me...acting like some high school girl again...what is it about Khalil that can reduce me to such a state? hmmm, i'm sure all of his Malaysian fans are in such a frenzy state too...some of whom would be sitting beside the radio waiting for the hourly cue to call everyday for the next 5 days...
Anyway, i'm post call today...had a relatively good call yesterday i.e. no admissions, patients were fairly stable...but instead of sleeping while i could, i was chatting online...and then one of the nurse left a webpage on wedding gowns open...i browsed a while and then got hooked...i'm a sucker for wedding gowns...something about beautiful white gowns that appeal to me...so i slept around 5am...thought it'd be a good call all the way till 8am...but something just has to happen whenever i'm on call...
Got a call from the ortho HO at about 6am...49 year-old guy...post op about 3 hours bilateral hand fasciotomy for hand compartment syndrome...apparently he was cleaning some fish 2 days ago and injured his fingers...have no idea what kind of fish that can cause such bad infection and sepsis...when i saw the patient, he was having acidotic breathing...confused and disorientated... basically on the verge of collapse...couldn't detect his saturation coz his peripheries were cold...BP lowish...ABG showed severe metabolic acidosis incompatible with life...pH 6.89 bicarb 8 BE -26... i'm amazed he was actually well pre and post-op...why didn't he wait till 8am to get that acidotic? asked the HO to give 200ml of bicarb stat...his ABG improved a bit after that..but still acidotic...
So i had to intubate the patient...good thing BP didn't crash with midaz..but the guy was a difficult intubation..or maybe my skills are just deteriorating...but thank God i managed to get the tube in on the second attempt...blindly...phew!!! had to admit ICU...by the time patient reached ICU, it was almost 8am...thank God the on call and in-charge MOs came to my rescue...but we had problem getting the arterial line...and he only had on large bore branulla on the external jugular vein (the one i put in after i intubated the patient)..his other line was a pink one on his right leg...
I handed over the case and the other cases to the MO on call today and came home to crash...don't know if the uncle will make it through tonight...he was so septic that we had to start on double inotropes before i left....oh well, on call again tomorrow...we'll see how it goes...
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