Lotus - surviving life & remaining pure to urself

Saturday, June 16, 2007

A&E nights

2 more nights to go. Am feeling absolutely shattered right now.

A&E nights is so exhausting; I wished I could choose who can come to A&E. The thing about A&E is it is like open GP surgery, we take every shitte from the general public. Please stop sending drunks via ambulance to A&E. It annoyed me big time. Please don't come to Accident and Emergency because you have abdo pain from constipation.

I think the most difficult is sending TIAs home from A&E.People should realised we don't do CT Scan regularly, and even we do, there is nothing medical team can do apart from followed you up in TIA clinic, addressing risk factors and carotid endorectomy. Drugs are there to reduce the risk, doesn't mean further stroke cannot happen.but we are not GOD to prevent this. Truthfully, they are probably the worst risk patient group. Neurosurgeon role is only to decompress; if there is nothing to decompress in the brain, they don't really give a shiite.

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