Sunday, 17 April 2011
First time ITU shift so dramatik! + 'False Alarm' yg membuat aku terkezut seketika
Hah, meh mulakan entry ni dgn lagu yg terngiang2 di telingaku after such a dramatik day - work & personal.
Just so you know, my life is B-O-R-I-N-G. So, maybe all that happened today biasa je 4 org lain.
Pagi2 buta, b4 i gi kerja je i terfound out something yg menyebabkan otak i terberhenti kejap. Sbb, there's something about my life that might be worrying to others who care for me, but i don't care the least bit. Benda yg i terdapat tau pgi tadi menyebabkan i consider yg maybe i should start mega-worrying about it!
Anyway, benda ni ialah something yg Sometimes je i worry cos it's making my loved ones worry. But bcos i live far from them, jarangla it's troubling my mind. Tak taula i balik Msia nanti..hehe..i mean they worry cos they love me...that's priceless..i should be thankful.
Lepas berita tu, i pun keluarla pgi kerja for my on-call weekend shift kat ITU dgn otak yg telah terberhenti bekerja...hehe. ie, mood bosan kena kerja weekend, mnjadi bertambah bosan!
ITU pagi sampai tengahari biasa je la..benda2 routine yg i selalu buat since start ITU. ITU mmgla an intense, exciting place. Tapi, klu u nak tau, i tak tau kenapa, i jarang gila have to deal with benda2 yg dramatik2..selalu je tgk / dgr trainee lain have to face these things. I mean, after dah nak 3 bulan ni, bosan gila la what i come across comparatively.
Benda2 dramatik:
1- Pagi2 pkl 10. Kena certify death on ITU. heheh..mmgla benda ni biasa gila...i biasa je buat klu kat ward biasa. Tapi ni 1st time kat ITU.
Pastu, build-up dia,
2- Masa tgh ward round kat 1 of the patients yg i r/v, boleh dia punya HR drop to 33 and monitor to looked like Complete Heart Block. Nasib baik, mmg dia dah intubated pun, on NORAD, on filter jugak. Tapi, lama la kitorang kat patient tu, nak record 12 lead ECG, kasi Glycopyralate. Pastu, after w/r aku kena pegi ask for Cardiologist r/v.
Yela2, mmgla this second one common sangat- ie biasala pt kat ITU acutely deteriorate at any time doing weird things..i cerita ni saje je..buat build up.
3- Start pukul 4pm, tiba2 je bertubi2 new admission kat part ITU yg i jaga. ITU admission ni, klu tak ambik 2hrs each tak sah. Diorang ni selalunya masuk dgn notes yg berkati2 kena go through. Pastu kena masukkan art line lah, r/v investigation results lak, carik senior nak confirm treatment lah.
-tgh sibuk2 ni, tiba2 1 of my 'old' as in yg dah lama kat ITU pegi paksa nurse cakap yg dia nak cakap dgn doktor sbb dia nak 'end it all'..
Aku dah, sudah...masa tu 30 min lagi nak handover, i still in the middle of admitting new patient!..Kenala aku pgi cakap dgn dia...benda ni kan complex...what am i supposed to say/ do? Entah! I also dunno what i said..Dia kept holding my hand, begging..At one point tu, dia reached for my neck, nak strangle me, paksa i 'end it'! Aku pun stepped back. Nasib baik, dia relatively weak, banyak tubes and drains attached to him. So kurang berjayalah dia..Last2 i berjaya make him agree tak yahlah pull the lines/tubes...(dalam hati...Tunggula Night docs, yg lg senior hopefully know apa nak buat in this situation)
4-Habis je kes di atas, tinggal 15 min nak finish new admission!..aku dah, takdenya sempat habis....Tup tap, tup tap, dah pukul 8pm! Masa handover to Night team. Aku dahla tak habis lagi dgn new admission, tak habis update list lagi.
5.Tgh2 otak serabut pkl 8pm tu, boleh ada crash call! Exactly at 8! Aku pun terpaksala drop everything, bergegas ke tempat kejadian, which is Always at the other end of the world (hospital). As ITU SHO, u will always carry the crash bleep. Tapi, tula, as i said, dlm berjuta2 kali i pegang tu, baru harini yg proper serious case, selalunya some random orang yg ada vasovagal ke, etc. Trainee lain selalu je i tgk dapat kes2 yg serious.
Anyway, buat apa komplen, saving the best for last, i guess, 2 minggu je lagi i kat ITU. Lepas tu kat Surgical High Dependency.
Allah mmg akan menduga manusia Hanya dengan apa yg mereka mampu hadapi...Renungan bersama...
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