Wednesday, June 9, 2010

Scoped today...

Today was scope day...initially i planned to ask big big boss to do OGDS for me today...but since i wanted to do OGDS on patients so i thought i'd postpone it for another 2 weeks...coz boss came up with a good plan...the next 2 wednesday i'll be post call...and after the OGDS under sedation, i can ask big boss for pm off....hehe...

So i managed to do an OGDS for a patient...though my technique has much room for improvement... will practice more...we finished all the patients by 1030am...there was a 29 year-old lady whom we did colonoscopy on...she presented with PR bleed for 2 months and i saw her in the clinic...we found a tumour at her upper rectum...so i kinda got scared and paranoid...since i had been having chronic dyspepsia for 2 months...

So i told big boss that i better get scoped today...so after they sterilized the ultra-slim scope for me, big boss set a blue IV line for me...coz i insisted on sedation...so he gave me IV dormicum 3mg... the drug worked quite fast coz as soon as i said i wasn't sleepy yet i don't remember what happened after that...apparently i became very talkative after the dormicum (big boss said i kept saying i felt high, hahahaha) so big boss gave me IV pethidine 10mg and i totally slept off...thank God i didn't become violent after the loss of inhibition...

And apparently my BP dropped to 70+/50+mmHg after the sedation...so big boss gave me flumazenil to reverse the sedative effects after the procedure...and i woke up...but still a bit blur...big boss asked if i remembered anything...i said no...really didn't remember anything at all..they pushed me to the recovery to rest a while...after a while, they came to get me for lunch....i tried to sit up and felt a bit woozy...but still able to walk straight after a while...although i felt quite heavy and slow the rest of the day...

So my diagnosis is just pangastritis with H. pylori infection...so now i'm on esomeprazole, amoxycillin and clarithromycin...well, at least it wasn't anything sinister...thank God...i'll be taking lots of pills for the next 1 week...need to be compliant...if not big boss will say i'm naughty, hehe...

3 comments:

  1. maD haTTer10/6/10 19:38

    Went to work & got high, nice one :)

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  2. Muahaha... You might have uttered something that they didnt tell you, since you lost the inhibition due to the midazolam. :P
    Eh, last time you used bronchoscope and fibre Optic scope, now changed to a bigger scope, OK wah... :P

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  3. maD haTTer, yea, didn't think of it that way...unfortunately the high only lasted as long as the procedure...
    Johnny, i hope i didn't reveal too much...hehe.. last time i only tried bronchoscope before...didn't touch the fibre optic scope before...

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