Assalamualaikum,
(again I'm blogging!)
Si Kenit Teme'ot baru saja melelapkan mata, jadi amik peluang untuk meng"update"kan blog ni.. :)
Ntah la, tetiba teringin nak bercerita kat dalam blog ni about my 1st January 2008 in female ward at Hospital Machang...
Hari ni, bermula la sistem "finger flat" di Hospital Machang. Kalau dulu, malas nak punch kad masuk kerja, sekarang, ada sistem yang menggunakan cap ibu jari untuk menentukan masa masuk dan keluar kerja... Jadi, hari ni saya ajak suami saya pergi kerja awal. Selepas mandikan dan susukan Huzaifah, kami berdua ke tempat kerja masing2. Saya ke Female Ward dan suami ke Male Ward.
Tepat pukul 8 pagi, saya dah masuk ke wad. Tengok satu patient di acute bed, macam tak stabil je. Hmm, macam susah aje nak translate ke bahasa Melayu and layman's language... So, whomever reading my blog... buat2 faham ajelah... hehe.
78/Malay/Lady, known case on diabetic, was admitted by doctor oncall last night at 10pm and shw was treated as Unstable Angina, started on IV Heparin. While reading the file, it stated that there was ECG changes, ST elevation at lead II, III, avF, however on serial ECG, there's no more ECG changes. When I saw the ECGs, I could see all the ECGs had the changes. On admission, her blood pressure was low. I asked to repeat BP, her BP was 76/52mmHg, which was low. spO2 maintain 100% on HFM 5L/min.
I asked the staffnurses to some staff and I referred the case to Hospital Kota Bharu after discussed with my husband. Patient had Acute Myocardial Infarction since yesterday, started at 7pm. On monitoring her BP every 10 mins, her BP picked up to 96/60, but then became low again... Very unstable case!!! By 9am, we managed to settle everything, and patient was transferred to Kota Bharu. My husband started her on Dobutamine and accompanied the patient. Patient reached Kota Bharu, but my husband taught her to "mengucap banyak2".
Since morning until now, I still have butterfly in my stomach... Usually such cases will be managed at casualty, but it's so happened that the case was in the ward...
Kak Wan, Maya!!! Selalu ke jumpa kes2 macam tu??? ;(
After referred that case, saw another patient having acute renal failure with fluid overload and metabolic acidosis. Alhamdulillah hari ni, doctor oncall kat Kota Bharu, a nice doctor...
I finished round my ward by 1230 noon. Alhamdulillah, Huzaifah didn't make much noise, since he's already eating rice porridge with veges and beef/chicken. But when I came home, he was crying for milk... :)
Oklah... That's all for today... Huzaifah woke up! Got to go...
(again I'm blogging!)
Si Kenit Teme'ot baru saja melelapkan mata, jadi amik peluang untuk meng"update"kan blog ni.. :)
Ntah la, tetiba teringin nak bercerita kat dalam blog ni about my 1st January 2008 in female ward at Hospital Machang...
Hari ni, bermula la sistem "finger flat" di Hospital Machang. Kalau dulu, malas nak punch kad masuk kerja, sekarang, ada sistem yang menggunakan cap ibu jari untuk menentukan masa masuk dan keluar kerja... Jadi, hari ni saya ajak suami saya pergi kerja awal. Selepas mandikan dan susukan Huzaifah, kami berdua ke tempat kerja masing2. Saya ke Female Ward dan suami ke Male Ward.
Tepat pukul 8 pagi, saya dah masuk ke wad. Tengok satu patient di acute bed, macam tak stabil je. Hmm, macam susah aje nak translate ke bahasa Melayu and layman's language... So, whomever reading my blog... buat2 faham ajelah... hehe.
78/Malay/Lady, known case on diabetic, was admitted by doctor oncall last night at 10pm and shw was treated as Unstable Angina, started on IV Heparin. While reading the file, it stated that there was ECG changes, ST elevation at lead II, III, avF, however on serial ECG, there's no more ECG changes. When I saw the ECGs, I could see all the ECGs had the changes. On admission, her blood pressure was low. I asked to repeat BP, her BP was 76/52mmHg, which was low. spO2 maintain 100% on HFM 5L/min.
I asked the staffnurses to some staff and I referred the case to Hospital Kota Bharu after discussed with my husband. Patient had Acute Myocardial Infarction since yesterday, started at 7pm. On monitoring her BP every 10 mins, her BP picked up to 96/60, but then became low again... Very unstable case!!! By 9am, we managed to settle everything, and patient was transferred to Kota Bharu. My husband started her on Dobutamine and accompanied the patient. Patient reached Kota Bharu, but my husband taught her to "mengucap banyak2".
Since morning until now, I still have butterfly in my stomach... Usually such cases will be managed at casualty, but it's so happened that the case was in the ward...
Kak Wan, Maya!!! Selalu ke jumpa kes2 macam tu??? ;(
After referred that case, saw another patient having acute renal failure with fluid overload and metabolic acidosis. Alhamdulillah hari ni, doctor oncall kat Kota Bharu, a nice doctor...
I finished round my ward by 1230 noon. Alhamdulillah, Huzaifah didn't make much noise, since he's already eating rice porridge with veges and beef/chicken. But when I came home, he was crying for milk... :)
Oklah... That's all for today... Huzaifah woke up! Got to go...
Assalamualaikum (dah lama tak tulis blog, macam kekok plak. hehe)
5 comments:
wah sudah besaq huzaifah ni yer!hehe..erm ada la satu dua case camtu tapi ptn dah KO..dulu2 ah masa aku stat oncall kat BM..aku surgical ortho ong..case2 camtu medical ppl yg tgk heh..aku head injury yg byk..pergh!!
ha ah, si kenit teme'ot dah besar! bila nak jumpa dgn aunty wan ye??? hmm, boring ah keje jumpa kes2 ntah apa2...
hmm, kes menteri KKM lagi laaaa, malunye aku berada di bawah naungannya... :P
:)that's the best part being in emergency .your heart will be jumping around every second until your patient is safely transferred to the ward.i like that adrenaline rush though.
dah lama x dapat kes macam tu sbb la ni alhamdulillah kalau duk kat resus x 'jonah' sangat.but who knows, nxt week 2 x duk kat resus.quite scary though.
just to share,had 1 indian lady around 70+ no known medical illness came complaining like syncope.katanya tgh potong sayur then jadi lembik.admitted to yellow zone with sweating all over.jaga resus masa tu tapi yellow banyak kes masuk sekaligus,so my instict suruh tgk kes tu.MA punya diagnosis hypoglycemia.she doesn't look good to me,bp just 60/40,pulse 40,tgk cardiac monitor nampak st elevation,immediately transfer to resus,given fluids,bp picked up,started on strep but bp then lowish,strep witheld.started on not triple tapi 4 ionotropes and bp still not picking up,and her pulse ranging 30-40 only.ccu full that time, just imagine with that kind of situation ,memang x tahu nak buat apa.pass over and later got to know patient pass away in casualty.
panjang lak duk tulis komen.banyak lagi jumpa sampai tak tertulis kat blog sendiri.:)apapun everyday is a learning process for us.
good for you la dr maya having the likeness of shooting up adrenaline! :) me, not sure if i like it as much as you do. hehe
tengok sikenit teme'ot tu tido...sebijik cam rupa ayah dia kan!
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