I'm post call today...and i'm dozing off as i'm typing this...suffice to say that i had quite an eventful night yesterday...boss transferred out one patient yesterday so i had an empty bed in ICU...but by 8pm, the medical MO referred to me a 34 year-old man who had a mixture of symptoms that suggested dengue and AGE/typhoid....i shall not go into details of his short stay in the ICU...to cut to the chase, he arrived in ICU at 835pm and the grim reaper won a soul at 1245am....cause of death was severe pulmonary haemorrhage...but due to what? i don't know....probably dengue shock syndrome but there wasn't time to send dengue serology....and family declined post mortem...
I thought that would have been the end of my eventful night but it was not to be...got a call from the ortho HO...said her MO asked to come intubate a patient in female ortho ward...i was like, your MO don't know how to intubate patient is it? so i had to go anyway...patient was found pulseless and probably blue by the nurse during their night monitoring...which meant that patient might have been dead longer than the time the nurses noted her condition...the HOs CPRed her...and i came to intubate her...after 30 mins of CPR...she didn't come back...so i went to document my part in the case note and found out that patient has been issued DIL/DNR....i was like, WTH??!! somebody should have at least told me...so that no one's time, effort and energy would be wasted....not to mention a definite law suit if this happened in the US....
Managed to sleep a little after 330am...but at 7am, the medical MO came and woke me up... referred a young girl with dengue and typhoid for ICU care...they were intubating her for respiratory distress...but she was a non-local and boss was not keen to bring in non-locals into ICU...so the patient was sent to female acute ward...so after passing over to Pang, i left the hospital and came home....
As soon as i reached home, i got a msg from boss which read : Did i say you can leave without passing over?...shit...i totally forgot that he's like my other lady boss who expects the post call MO to pass over directly to the boss...so i replied: Do you want me to come back now?...well, good thing he didn't insist that i go back to the hospital...i was tired and i had a whole week of laundry to finish up before i catch my plane back to KL...heck, i haven't even pack yet....it's a good thing i can pack quickly...so now i'm done packing...only left the laundry...and i don't think i can keep my eyes open for long anymore.......
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