hidup biar ikhlas

buku adalah sahabat manusia, amal perbuatan adalah teman di kubur, akhlak yang baik adalah mahkota kemuliaan dan baik hati adalah pakaian paling indah

alhamdullillah..da start pon elective...it wasnt too bad here in RACH....esp in surg paeds...compared to ninewells, here is much more happening. as a first day today, i've seen lots of interesting cases...in the morning, was in the clinic wif my supervisor...kids wif recurrent UTI, recurrent balanitis, inguinal hernia...and oso they talked bout a baby boy who was delivered during the weekend whom they discovered to have anorectal malformation, so they brought him to theatre , operated on him and he was fine for a while but then he suddenly begin to desaturated overnight...but otherwise he was fine...they have tried everything to find out whats the cause but they failed...n the consultant then came out wif ONDINE'S CURSE. erm...cant believe it that IMU taught me that..haha....it is a syndrome of hypoventilention
look up here for more info-http://en.wikipedia.org/wiki/Ondine's_curse

in the afternoon, they have lunch time meeting bout significant event analysis...every jjunior doctor have to present one..it was interesting..there were 4 events altogether...1-a child came in wif burns..n the story from parents was inconsistent..so they thought it was NAI(non accidental injury), they admitted the child, but suddenly the child dissapeared from the ward...everything was hectic becos the junior doctor was new, n she didnt know what to do neither the middle grade staff..poor communication between the staffs resulted in missing of the child...but finally they managed to get back the child wif the help of social work, n it was found out that it was a neglect rather than NAI..so the lesson to learn is know how child protection act works n who u hv to contact n what to do in this situation..

2nd case was a general one...applies to all doctors...bad handwriting..common huh...to all doctor to be out there, watch ur handwriting kay!...tulis tuh biar org bole baca..especially drugs name...its patients safety..

3rd case bout alarm...to be honest, i myself dun even know how to differentiate emergency alarm, fire alarm, n whatever alarm thay hv...so obviously i need to learn bout that

and the last one was about a child who just have craniotomy done, then during the night, she had a swelling at the operation site...the concern nurse reported it to the on call doc , so the doc went to check this girl, n she cudnt find her notes, none at all...her obs however stable, so contact neurosurg team, ask the on call doc, n she wasnt sure bout it but she didnt want to admit it...initially, she was reluctant to contact her consultant, but finally she contacted him, n they came over...the lesson here...if u dunno sumthing, just admit it..we r dealing wif people's life...so dun compromise..

in the afternoon, i went to theatre...the 1st case was an emergency...a 5 months old boy wif melena...sounds weird isnt it? he had chicken pox at the same time..his vital signs is showing signs of shock, however the medical term wudnt able to put in any line, so they hv to bring him to theatre, n ask the surgeon to do it before he can hv endoscopy done..they put in 2 lines into his both saphenous veins (2 fingers breadth above and anterior to middle malleolus) n endoscope shows ulcer in stomach and oesophagitis probably due to chicken pox.

thats all for the 1st day..my 2nd case was nothing..bcos my supervisor is attending a conference, n there was nothing in the ward, theatre n clinic..so i skive the whole day..haha