What a crap on call yesterday...

Was doing medical cover oncall yesterday, soooo exhausting. I had 2 crash calls - one from psychiatry ward and orthopaedic ward. Thank God it wasn't sth that is really out of my depth; its just seizures & an apnoe & off colour episode (nobody needing intubation etc, phew!). Both wards are like "10 minutes usual walk". Jauh gila. Kena lari pecut, by the time we arrive I thought I am the one who gonna "arrest".

The second crash call came sth like 25 minutes before I was about to finish my work (and at the time I was waiting for a patient to be transferred to HDU from the ward for Type 2 respiratory failure; and he was like can go 'arrested' at any time so I have to basically escorted him during his transfer); and I was thinking - can it get any worse than this? There is like two pancytopenia needing transfusion as well.

I was oncall on Friday and its bloody depressing as well. An ischaemic bowel with ver bad chest, bad kidney, bad heart hence inoperable. Also seen someone with GCS 4/15 and respiratory failure and in the process of dying. And I feel so bad because they were all have reach the ceiling of treatment. Nil else I could do.

This week I have been facing the ugly side of medicine. One thing I did learn - identifying "dying process".

Imagine becoming medical registrar and have to make this kind of decision....