A R.E.F.E.R.R.A.L D.A.Y..... another oncall story...

• assalamualaikum....
  
• selamat pagi..
• Hari ni kena post gak 1 blog...
• dah berapa hari ter"miss" blog ni sbb nak habiskan HEROES SERIES...
• walaupon sebenarnya baru je sampai rumah setelah berhempas pulas seharian di hospital semalam..yup I Oncall lagi semalam...
• Oncall semalam penuh dgn referral...hari referral sedunia!!!!
• Working kat district hospital nie..nothing much we can do..so certain case which need close monitoring, specialist supervision, advanced drugs or investigation or bila kitorg dah tak tau lagi nak watpe dgn patients tue (hehehehe)..we need to refer them to the tertiery hospital
• so smlm pagi2 lagi I dah refer case from my own ward...
• ( kurang seekor anak ikan peliharaan ku...hehehehe)
• 23 yearold young man with dengue haemorrhagic fever grade III.
• He got upper GI bleed and had ascites...mana doknyer platelet 4 je kan..
• Actually this patient dah vomit out blood since last nite...tapi poor him sbb xde doctor review him. Geram sgt kat doctor yg oncall that time...mujur x jd pape last nite..kalo collapse?
• Sibuk camne oncall pon... kena la priortize keje... this case awal2 lagi should be sent to general hospital...luckily dia ok..selamat di refer ke HRPZ II.
• 2nd case... 26 yo gentleman, alleged MVA, motorcyclist collided with car... came in restless condition, GCS 13, nose bleed, deformed n swollen jaw. otherwise no other injury elsewhere. xray showed fracture mandible. so refer to HUSM.
• 3rd case.. 56 yo makcik, came due to acute abdomen with huge ovarian mass...30x30cm..
• tapi kaedahnyer tetap merayu2 xnak di hantar ke hospital besar...nak dok kat spital aku je?
• nak pujuk makcik nie je dah berejam2...huhuhu...lps slow talk bgtau apa2 yg patut n wat muka comel kat makcik tu...
• At last makcik tu pon surrender dgn pujukan manis dari aku..mukakakakaka
• diagnosis? torsion la kot... hehehe
• another case sent to HUSM
• 4th case... 10 yo mentally challenge girl...alleged PCM aka panadol poisoning... ermm camne la budak mcm ni boleh dapat PCM tu..ni sah2 xsimpan ubat dgn betul..I dont buy her mother story claimed that she alredy put the medication at the safe place...kalo tak takkan la budak tu boleh dpt ubat tue... tp budak ni look bright n lurus...
• me : adik nama sapa?
• patient : %$#&*(*
• me: umo?
• patient : 10 tahun
• me: mari spita bak pe? ( try to sound s kelantan s possible)
• patient: perut saya sakit...kat sini
• (voluterily dia angkat baju dia n point her finger at her belly button..COMEY!!!!! hehehe)
• me: kenape sakit perut? ( hilang dah kelantan aku...hehehe)
• patient: tak tau...tetiba je sakit...
• me: tetiba je? ke adik ada makan apa2?
  patient: ada! makan gula2... ada kat mak..mak dah amik
• ( her mother holding sarung panadol yg kosong, 1 papan 10 tablet)
• me: gula-gula ke tu? manis ek?
• patient : saya kunyah2...xsedap pon..PAHIT!!!!!
• hahahahaha aku tergelak je dlm hati...
• but she claimed she chewed dan makan semua panadol tue. nothing left...x buang n tak dimuntahkan..
• so...call the peadiatric Mo HUSM...and sent to them... mana ada antidot n TDM reagent nak monitor kat sini....
• to be cont...
• (penat la...ngantuk..nak tido dulu...hehehehe)
• tunggu season 2 pulak ek...wakakaka