Hai, baby2 i yang comel2. Tlg jangan sakit yee..
Another oncall 'best' last night. Being in charge in active ward, need to clerk new case.
Arrived at 2000H. Noted 2 new cases. Alright! Because 2 Ho incharge in active ward. So i clerked that AGE case. Then noted specialist was doing round. But still not finished clerk. So just continue clerking that case. After that i follow the round. Baru follow sikit and then noted another case admitted to other ward. My partner was writing specialist review. By hook and by crook, i have to go and clerk that case laa. So just clerk that case. I labelled as bronchiolitis. My lungs finding was clear. So my sp ask on what justification did i put bronchiolitis? Hahaha. I said because of prolonged PEP in ED. She changed to viral URTI
Finished specialist round, got sooooo many blood c+s and branulla required. Sero nk jerik tiok. With pt refuse iv line insertion, padahal baru bagi iv abx 1 dose. Finished do all those at 0145H. Then solat isya and planned to take nap jap. Tak sempat solat dah dipanggil clerk another new case. 2 cases at the same time. My friend clerk 1 and i took 1. My case is simple febrile fit only. Hearing my collegue discuss his case with my collegue regarding his case, i just ignore it as i want to finished clerking as soon possible.
Then while giving neb to my friend's pt, noted worsening of grunting. I was distracted and couldn't continue my clerking. So i went near him and ask the condition of pt. Lucky enough my friend is my senior, that taught me during my 1st posting in surgery. So of course laa i trust him.
He tried to call MO oncall but claimed rejected. So after i update new case, immediately i called her. Alhamdulillah she answered my call. Update progress pt, then few minutes later she came. Decided for intubation. Prepare intubation set-ETT size 4, laryngoscope size 0 and 1, face mask, ambu bag, drugs- midazolam and morphine. Mida dilution 1mg in 1ml. Monitor baby's vital sign, then give 1mg midazolam, our poor 3mo baby girl safely intubated.
First time seeing baby being intubated since i enter paeds department. Next time i will ask permission to do procedure myself laa. Bagging him till 0515H, then was called and transferred to PICU. Bagging paeds x penat like bagging adult.
After taking blood CM, went to kopitiam sri cemerlang with my ON team mates. Talking for hours. Aku ni dahla mengantuk. Rasa nk letak je bantal baring kat situ. Hahaha. X dpt tidur a blink pun. EVEN A BLINK.
Balik rumah syahid. Bangun solat zohor pun kul 4. Nyawa2 ikan sempat 😋😄😅
Another oncall 'best' last night. Being in charge in active ward, need to clerk new case.
Arrived at 2000H. Noted 2 new cases. Alright! Because 2 Ho incharge in active ward. So i clerked that AGE case. Then noted specialist was doing round. But still not finished clerk. So just continue clerking that case. After that i follow the round. Baru follow sikit and then noted another case admitted to other ward. My partner was writing specialist review. By hook and by crook, i have to go and clerk that case laa. So just clerk that case. I labelled as bronchiolitis. My lungs finding was clear. So my sp ask on what justification did i put bronchiolitis? Hahaha. I said because of prolonged PEP in ED. She changed to viral URTI
Finished specialist round, got sooooo many blood c+s and branulla required. Sero nk jerik tiok. With pt refuse iv line insertion, padahal baru bagi iv abx 1 dose. Finished do all those at 0145H. Then solat isya and planned to take nap jap. Tak sempat solat dah dipanggil clerk another new case. 2 cases at the same time. My friend clerk 1 and i took 1. My case is simple febrile fit only. Hearing my collegue discuss his case with my collegue regarding his case, i just ignore it as i want to finished clerking as soon possible.
Then while giving neb to my friend's pt, noted worsening of grunting. I was distracted and couldn't continue my clerking. So i went near him and ask the condition of pt. Lucky enough my friend is my senior, that taught me during my 1st posting in surgery. So of course laa i trust him.
He tried to call MO oncall but claimed rejected. So after i update new case, immediately i called her. Alhamdulillah she answered my call. Update progress pt, then few minutes later she came. Decided for intubation. Prepare intubation set-ETT size 4, laryngoscope size 0 and 1, face mask, ambu bag, drugs- midazolam and morphine. Mida dilution 1mg in 1ml. Monitor baby's vital sign, then give 1mg midazolam, our poor 3mo baby girl safely intubated.
First time seeing baby being intubated since i enter paeds department. Next time i will ask permission to do procedure myself laa. Bagging him till 0515H, then was called and transferred to PICU. Bagging paeds x penat like bagging adult.
After taking blood CM, went to kopitiam sri cemerlang with my ON team mates. Talking for hours. Aku ni dahla mengantuk. Rasa nk letak je bantal baring kat situ. Hahaha. X dpt tidur a blink pun. EVEN A BLINK.
Balik rumah syahid. Bangun solat zohor pun kul 4. Nyawa2 ikan sempat 😋😄😅
No comments:
Post a Comment
Note: only a member of this blog may post a comment.