my oncall day...a bad one indeed...

salam...

As promised..hari ni kena update blog ni gak...
smlm xleh nak upload sbb oncall.
so 4 this posting...
let me give all of you a general idea wat an O.N.C.A.L.L is...

semlm..my turn to do call. (20hb Jan 2008)
dah lama gak x oncall..sbb baru lps cuti 5 hari...
actually since the night before dah rasa xbest...
got the feeling that this call will be a bad one..
waaaaaaa.....("_)

so I started my call at casualty ( a.k.a emergency department) since 1pm.
spatutnyer start 5pm..tp 4 doctors off that day, so i hav to cover them
1-7pm..non stop seeing patients... bed kat casualty semua full most of the time..
I dah admit n discharge the patients but unable to clear them...
ada je new cases keep replacing & occupying the beds...
Luckily most of the cases yg light2 je...
so tak la pening kepala sgt...


at 7pm baru dapat berhenti...
so I masuk my room utk solat asar and alang2 solat maghrib sekali...ala2 jamak je..
(hehehe ada ke jamak asar dgn maghrib?tah menuntut ilmu agama kat mana la mamat nie.. ("p))
lepas solat I went to pantry utk "lunner" (lunch+dinner) ...
mmg x sempat nak lunch...makanan oncall je la dibedal dgn lahapnyer..
lapar punya pasal kan...
(kat sini... kitorg mkn makanan patient..apa yg patient makan tu la diaorg prepare utk doctor oncall ..so U.N.F.A.I.R!!!!! tu yg kekadang rasa malas je nak makan...x makan pon xpe..
tau jela makanan patient kan...low salt diet la, diabetic diet la..last2 rasa tawar jek...)

then after that emergency department started to get busy again...
yg I tau..bila tgk jam after the last patient, its already 11.30pm...
xsedar pon masa berlalu... baru boleh menarik nafas berehat jap...

So.. I tell my staff nak balik rumah ... mandi!!! (plus lapar...)
My house dkt je..5 min je jln kaki...
Kalo ada emergency case..sempat je i nak lari balik....hehehehe
so balik la ke umah...i reheated makanan kat freezer then naik bilik utk mandi n solat isyak...

1230am...still no call from my staff..ermm seem like a good sign!
but i decided to sleep kat hospital je..anything happen senang n cepat nak handle...
alhamdulillah...kat casualty mmg xde patient...

so i masuk bilik nak tido...
baru je nak landing kat atas katil...
1am my phone bunyi...hospital call... from labour room..
3 new cases to be clark...
so pergila ke bilik bersalin...3 uncomplicated cases..so settle within 45min

balik again to casualty... nampak ada dua org terbaring kat bed...
i clarked the case n did wat was needed..then i masuk bilik utk tido..
mata ni rasa dah berat sgt.... 2am already!

215am...a call from nurse to inform lab result...wateva
back to sleep
230am...another call from ward...

staff nurse : assalamualaikum, maaf doctor mengganggu.. (sopan je kan misi aku..hehehe)
me : waalaikumussalam, xpe... ada apa ye kak
(I try to sound as best as i can..cover2 sora sexy baru bangun tido..hahaha)
staff nurse : Doctor, patient yang doctor admit sbb stroke tu stop breathing la...
Blood preassure dia xdpt nak reading la..bla bla bla...
me : @#$%%^&&***<----ni perkataan2 baik je la..hahahahahaha
(i told my staff wat to do..sementara nak tunggu i dtg)

so...i basuh muka..touch up mana2 yg patut...berlari-larian la ke wad...kaedahnyer wad tu lagi jauh dr rumah aku tau!!! mencik mlm2 nak jln jauh2 nie....waaaaaaaaaaaaaaaa ("_)
i commenced CPR (cardiopulmonary resuscitation..tau ke? ala yg mcm kat Tv korg tgk Doc tekan2 dada pesakit especially buat kalo tiba2 kat monitor jantung pesakit jd str8 line....)
after 30minute tetap x reverted..patient succumb to death...("_)

dlm kul 4am..baru settle dgn pesakit ni...
pagi2 dah kena exercise..woit penat tau wat CPR..peluh2...ala2 wat push up jek..believe me!
(sbb tu my biseps well developed..mukakakaka perasan gila!!!)

balik ke casualty ada satu case plak...
boleh pakcik tu tanya aku...

"Doctor bersukan ke mlm2 sampai berpeluh2 camni?"

aku balas dgn senyuman jela kat soklan pakcik tue....dlm hati another %$&*^%$$%# ("p)
ikutkan hati nak je aku lazer pakcik nie..bukan pasal soklan yg mencabar minda tadi..tapi sbb menyusahkan aku pg2 buta...dtg dgn headache and blood pressure yg melambung2 tinggi sbb x makan ubat!!!!
I admit that pakcik yg terlebih peramahnya itu...
habis je I wat the admission...

telepon berbunyi ring ring ring (xde maknanyer...hp aku bunyi lagu MCarey-cant live ok!)

ku angkat ku tanya siapa... (teringat lagu time sekolah rendah dulu)

Another staff nurse from another ward but same problem.... another patient collapse... siap order kat aku lagi.. Dr boleh tolong bawakkan burial permit yg ada kat casualty tu sekali tak?

aiks...dia mcm tau2 je aku tak mampu nak menyelamatkan pesakit tue...

tp mmg nothing much i did to that patient.. HIV +ve patient..relatives pon xnak we aggressively treat the patient..so we just let him go....peacefully..i hope

dekat pukul 5am baru settle dgn patient nie...

letihnyer Allah je yg tau... tapi org kata kalo ikhlas banyak pahala kan..

boleh tampung lompang2 dosa aku yg bertambun2 tue....huhuhu insaf seketika...

i tido pastu tanpa di ganggu bunyi telefon ( kalo bunyi pon i x dgr kot sbb dah tido mati hahaha )

kul 630am...terjaga..so bangun solat subuh,, tgh2 solat tu dpt another call...

so solat pon dah tak khusyuk mana...habis je salam..tgk number hospital..

kluar2 bilik..nampak la sorg pakcik atas katil tgh tercungap2...

OMG!!!! %&*&& perlu ke bad case ...awal2 hari nie!!! WAAAAAAAA!!!

begitulah my oncall day...

tidur makan sekadar yg sempat je...

pening sakit sendiri rawat laa..hehehe

the next day we hav to go to work mcm biasa... another 8am to 5pm office hour...

its very tiring n so stressful!!!

but this is my job...my life...

ikrar yg telah dilafazkan utk mencurah bakti kepada yg memerlukan sebaiknya..

hav been into that situation for 2 years plus by the way

malah situasion yg lagi teruk pon dah pernah hadapi...

Thank Allah... di atas kekuatan yg diberikan dlm menghadapi liku2 kehidupan yg amat2 mencabar ini...

p/s pakcik yg last tu dtg dgn APO (lung full with fluid..seen in patient with heart problem)...n he survived...thanks allah ("p)

kalo tak maunyer depress aku hari tu dgn 3 death!!

p/s xde gambar la....lain posting la baru ltk gambar...ala oncall kali ni bukan ada case dgn gambar2 yg "menarik" pon... nauzubillah...xde maknanyer aku mintak case2 yg pelik2! simpang malaikat 44!