2010年3月22日月曜日

aku yg bengap

aku so far zenkatouchoku (on-call that covers all dept) baru 5 kali je kot...
x termasuk la on-calls tuk dept yg rotate masa tu...yg tu mmg tak terkire...

entah la apsal...

tiap kalo aku zentatouchoku mesti dtg AMI or AP...

aku actually excited gak bile dtg cardiovascular patients...
psl bleh belajar byk...

my first AMI patient during zenkatouchoku...

was handled by cardiac surgery dept...

selalunye cardiovascular dept...entah la apsal ari tu lain sikit...

i was supposed to do posting at cardiovascular in feb and march...

tp psl dept ni bz tahap gaban n plg awal bleh balik pun around 11pm...

aku terpaksa kansel posting mintak tukar ke allergy n rheumatology dept...

n kebetulan lak...

cardiovascular dept yg selama ni tak pernah putus2 dpt HO...

xde HO tuk bulan feb n march...

so everyone at the dept knew that that foreign doctor named sufi decided to cancel her posting to a less stressing dept...

dah la foreign doctor yg bernama sufi ni aku sorang je...

so bile cardiovascular sensei nampak aku kat kyuugai (emergency outpatient clinic)...

abih diaorg tanya aku soalan mcm2...

so ari ni ada AMI dtg...

a taxi driver who was referred by a small hospital...

sampai2 terus amik ECG n mmg ada ST elevation in leads II, III n AVF...
n ada reciprocal changes in other leads...
tu mmg aku tau...

sensei yg dtg sensei perempuan...punya la cun...
elegant lak tu (except that she's got bad toenails...hekhekhek)...

asked me...
what kind of disease that you have to exclude when you see ST-elevation?...

aku pun jawab la endocarditis...

n then she asked me how do you differentiate endocarditis from ischemic heart disease by ECG?...

aku paham soalan dia n tau jawapan somehow...tp aku tak tau camne nak jawab...

aper gi...geleng kepala la dia...
tp she was kind enough to explain...

then, she asked me another question...

what kind of complications are expected from AMI?...

tu pun aku tau gak jawapan dia...

tp aku diam je...blur tahap gaban....

lg la dia geleng kepala....

n she said...

kalo ACLS ni ko dah kena dah marah ni...
neway, what is the first thing you must do when you see an AMI patient?...

aku tergamam lak...
xpaham soalan dia...
maksud dia dr mana aku patut pikir tu...

aku pun jawab al 'check his vital signs first'...

lg la sensei tu geleng kepala dia...

morphine, aspirin, nitroglycerin etc...

bg ubat kat dia dulu to decrease the patient's blood pressure if he's hypertensive...
n ubat ni kan also help dilate the coronary arteries to improve blood flow and reduce symptoms...

la...she meant by that ke....



aduihhhhh.....

sememangnye aku bengap...
and aku yg bengap will be turning 2nd year HO soon in a week time...
and aku plak kena ajar 1st year HO nanti...
aiseh...

ganbare sufi...
ganbare sufi...

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