Lotus - surviving life & remaining pure to urself

Thursday, September 27, 2007

Night shifts coming....

Starting nights tomorrow....7 nights then annual leave....woohoo!Really need a break from the ward.

This week has been hell; the patient turnover is so quick, I barely able to catch up with them. Its only Thursday, I am sure I have done more than 10 discharges in a ward with 17 patients capacity.Praying to God one of my patient will not go to renal failure after CT abdo contrast next week; have leave very strict instruction and renal team to review patient before and after CT. Have a feeling should he deterioriates, get infection, he might not be so lucky.He survived massive MI & ITU admission for post-op complication;memang nasib sungguh baik. No phlebotomist and am on my own. Sent shiver down my spine thinking of the weeks my colleague on leave and will be on my own again. Poor Jo has to cope when I am not around this time.

My healthcare assistant said how he is so glad he is not a doctor. Sometimes I wish I am not a doctor (when things gets tough - which means when the printer break down, cannot find the manual blood form hence have to go to other wards searching for old blood form as the printer refuse to print blood request and cannot sent the blood without form, this whole IT medical documentation things are really doing my headache; trying to chase referral etc....this is major cause of stress to me). Dealing with patient doesn't cause me this much stress.

Was talking with some of my colleagues abt cases that make you become emotional, and this sick attachment to medical profession (ie times when you hate your job but you just couldn't leave the job because somehow subconsciously you actually love your job). I remembered crying my eyes out after my first CPR experience; I actually feel guilty for activating the arrest call and couldn't get over it for few days; you have this rule if the patient has no prior DNR order or advanced directives, you resuscitate them. I have learnt to block this feeling and professionalism take over. You have to.Never let personal view to get in the way of clinical decision. Which is why I have made a rule never to treat my own family members and close friends. I can give advice but not to be the personal doctor responsible to make decision. Obviously, if someone did something terribly wrong, I will point it out to the face.


Japan race coming....Come on Hamilton! Came on Raikonnen (with terrible guilt to Mclaren)!

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