ETDstories

In Ed ni, i saw a lot of cases. Interesting one. Disgusting. Annoying. Frustrating. And so on laa.

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Yesterday i was oncall in green zone. There was 1 man, quite young 50+ NKMI, bp on higher side, GM 18 ketone 0.7 other vs stable, ECG stable. At 2ry triage, they labelled him having epigastric pain + vomiting. I called pt. He was coming with wheelchair, looked very lethargy, unable to sit up properly and closed his eye. 

M: pak cik mari ni sakit perut ko?

P: dok sakit perut, pak cik pening. Dgn muntah *asnwer with lethargic voice and still close his eyes. 

M: cer pok cik tengok sini smeta nk tanya soalan

P: *try his best to open eye. Tok leh pening lajok ni *close back his eyes

Gave him stemetil, reassess back after 1/2H. Condition not improved. Do thorough neurology examination, impaired few cerebellar sign. So uptriaged pt to YZ. Request CT brain urgent. Granted. Dr aiman pun pelik how this pt was triaged to GZ. Later on i asked my friend, yes that pt has right cerebellar infarct.

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Another case from GZ yesterday, interesting one also. 67 yo malay lady, has DM n HPT. Triaged as fall. 

Me: ghano mari mokcik

Mc: letih. Pahtu td mok kebas semua sekeliling mulut n lidah. Tak leh nk kecek. Mok cik sero keno stroke.

Me: ada peluh2

Mc: ado ado

Me: td gini ko? Napok po segar. Muka x senget. Kecek lancar. Td ada senget ko muko?

Mc: habis dh air sekotok ngan roti. Rasa segar pulop

Relative: tu la td dok gini. Dokleh kecek. Tp x dok senget

Me🤦‍♀️

They worried too much. Padahal sempat je pergi KK dahulu. Assess sana if indicated they will refer here. Anyhow mak cik so chumell.
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27/28 oct 2019
Last night, i was on night shift at GZ with dr zulkhairi. Nasib baik he is cool and daebak. Case came like waterflow initially strong current and towards the end flow become slower. But it non stop. From 8pm-7.30am i was like zombie dah.

And at 5 dr hanif called from RZ. Asking which pt still pending. He willingly discharged pt from system. What an OCD kinda person he is. Hahaha. Pantang see many pt in the system. I answered his phone call. He said my voice is too sleepy and i was like. Yeahh mmg i sleepy punn 😪

Before going home he was like izzah you looked terribly sleepy. And i was like. No i'm not now dr. Mocking me said i saw too many cases. I was so speechless seeing his happy face. Sbb biasanya dia bukan jenis tegur orang especially aku laa. And still i cant make up with kak fatin. But idc. Hahaha!

Last night i saw variety cases. Paeds mostly, gynae-this i one i will share later, surgery and suprisingly 3 psy cases and non emergency case like dyspepsia/constipation colic.

Haa yang gynae tu kes NVP, PUQE 12-moderate. Then i refer this case to gynae oncall, dr tarmizi
M: dr, saya izzah from GZ. Nk refer 1 case
BM: mg nk refer gapo zah?
M: NVP moderate- PUQE 12 laa. Tp x buka buku lg laa
BM: mg confirm gano dia pregnant?
M: sy buat UPT +ve. Pastu dia dh scan...
BM: mg x scan ko zah. Gano aku ajar mg ni? Kae jgn percaya finding org. Pastu gano mg tau tu intrauterine. Kan PUL ke?
M: nmpk iugs masa dia scan kt private
BM: heh mg ni kan. Aku oyak dh jgn percaya finding org lain. Scan dulu. Oyak smula

Then i bring pt to YZ for TAS 😭
Fortunately can see FH, show it to mother.
Me very happy. Tq Bos Miji. Aku mmg malas nk scan sebenarnya. Sbb sokmo kabur2 jah nampak. But last night alhamdulillah, god ease everything. Thank you ya Allah!

Next will be with other person dah laa oncall. Please help me God.

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Nnt if i rajin tulis lg, i will add on here. Hahaha