Dah masuk gynae ward

Unlike in HUKM, where the gynae ward includes oncology and general gynaecology cases, kat PPUM they devided into 2 different wings. After one and a half month kat labour ward, I'm finally posted to a regular ward...gynae am. Banyak nye yang ici tak tau. I learned how to list patient going for operation, requests for urgent radiology, and some white lies to go with it (sebab doc gynae nak urgent, doc radio kata tak urgent, so kene cerita macam kes tu kes urgent).

Other than that, it's quite tiring here that the nurses can't set IV lines and give IV drugs other than setting IV drips. I'm not sure if it's their policy, making them 'wouldn't' do any of those things. So even if we don't have the man power, say like yesterday, where there was only me in the ward, and ward round sampai 10 am, discharging cases until 12 noon, and still haven't had the time to give IV drugs that was due at 8 am; the nurses couldn't help to give it...couldn't? or wouldn't? Maybe next time I'd ask if there's such policy.

I've always thought the nurses are better at setting lines compare to new houseman, and whenever we can't do it, we would call the senior nurses to help. At least I'm in gynae am, and not in gynae oncology. These people are usually chronic cases, veins memang susah nak carik, halus, and for old people lagi la susah. If I'm in trouble setting up intravenous (IV) line, then maybe I'll ask them and see how they response. Last time I asked a nurse, they said, oh susah ye, then walked away.

Last on call - khamis malam, I had to attend to a terminally ill patient. The nurses told me over the phone, patient is gasping for air. Dah la ici kat labour ward, it takes me at least 5 minutes to walk from labour ward to gynae ward. I just told the nurse to prop the patient up, put on O2 mask, take SpO2 and vitals. My fren yang on call gynae ward pegi operation (which they didn't have to, but since he went, I had to cover him...grrr) So sampai2 je, SpO2 tak dapat, vitals very weak, BP dropping, tachycardia (denyut jantung laju) and tachypnoeic (nafas laju). I can't feel any peripheral pulses, femoral pulses are faint, so I my attempt at taking ABG is useless. Called medical officers in charge, sorang kat operation, sorang tak dpt contact. I called the second time, and 5 minutes later finally diorang datang serentak, and I was 'let go' (it sounds like ici 'disuruh' balik pulak at that time).

I think 10 minutes after I left, I heard the patient had passed away. The patient is terminally ill, ovarian cancer recurrence, stage 4 already. The nurses told me they did pleural tap yesterday (keluarkan air terkumpul dalam lapisan paru paru), 600 cc keluar. That's a lot! I guess that night, it happened again or the lungs may have collapsed. I couldn't hear any breathing sound..anywhere. I think I did what I should have done, and I think it was the patient's time to go. I don't know what the medical officers did after I left, though. I was too tired post-call that I didn't ask my fren what happened to the patient.

This bulan puasa, is gonna be a very busy month for me. Ramai yang amik cuti, tapi ici mintak cuti one day before raya and first day of raya. Ramai jugak yang tanya kenapa ici tak mintak cuti panjang, ramai non-muslim yang boleh cover. Tapi tengok schedule, hectic jugak schedule diorang. Ici ada 5 on call in total, and 2 of them are weekends. 2 days before and after cuti ici kena datang everyday cover the ward, even though hari sabtu ahad. Ici malas nak complain, just take it as it is, tapi ada jugak kawan yang tak suka. The funny thing is, dia non-muslim. Oh well, siapa tak envy free time in this world betul tak?

But I've already planned my cuti, and that's 2-3 november, and 27-30 nov. Actually, as a houseman, diorang bagi 9 hari cuti for 4 month punya posting, and tak boleh bring forward kumpul cuti. Sebab tu ramai yang nak habiskan cuti masa ni. I decided to use it bila betul2 nak habis posting, rehat sebelum masuk posting baru. And the good thing is, masih rasa lagi musim perayaan tu. So bole la ici beraya kot. Maybe just rehat. But I do want to meet my frens. Rasa macam tersisih pulak, takde social life langsung ici nih. Hari tu Shiida call, tapi ici pulak tengah tido tak larat. Post-call la katakan. Kesian dia, tak di layan pon. Sorry ya Shiida, hopefully I can make time for u guys. Dah lama tak jumpa. Buka puasa pon tak tau la boleh get together ke tak.

Rusydan pulak gi Perlis this 3 weeks before raya, kerje. Hampeh. Jumpa pon weekends je kot. Raya ni pon ici takde nak bershopping, pakai je la baju bertandang ici buat masa kawen hari tu. I really hope to see my frens masa cuti nanti!!!

Okay laa, nak gi dah. besok ici keje, cover ward from 730 am to 11 am. Hmm, maybe I'll stare at the calendar (again, and again, and again...), tengok bila ada time for a quick gathering.