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Thursday, September 18, 2008

Tired tired tired...


Must watch.. Hope to finish it.. With all the work on hand..

Stress over work... My god.. These two days is terrible!!!
Monday,
Took 3 patients..
14 acute i went fetch when suppose to be am shift doing.. Pt keep c/o chest pain on shift so did ecgSSSSS for her..
15 sick patient and i had to put in swan ganz for the patient.. Intubated to fluro rm..
16 got to send out to take a post AICD replacement pt...

Tuesday,
Took 2 patients..
14 same lady.. c/o pain but not at all at nite... Did ECG, no changes, call doc see, told to give S/L GTN... Given and immediate told me she wan water so i told her cannot till 5mins after the S/L finish.. She started crying.. Told her she's ok and don't cyr but she continues and begain to be histarical!!! I was getting angry with her behaviour when she collaped!! My god...
Resus 1hr still asystol but ECMO put in.. Another hour gone.. Then tell me send down CVL cath..
Died in the end and had to bring patient back..
15 patient's BP low from last nite.. i was so pack with 14 i really can't do much for him.. after send pt to CVL then i called the team ask for plans and doc tell me like tat loh.. i so pissed i told him off.. In the 1st place know going do nothing then don't start.. Intubate, swan.. 4 WAT????

I don't understand managements of docs anymore.. NO dinner, NO breakfast NO lunch the whole 2 days!!! Hate my work sometimes..

Anyway i also stres with a research my Sister ask me do.. I'm interested but afraid that i can't cope.. Plus she put me with a staff which i don't really communicate well with one loh.. She's so super lay back and till now did nothing and got the checks to say.. Haiz.. Just my luck.. PI of the project also like so brief with wat he wans.. I'm afraid i don't make it for this project.. But i'll try my best..
PPL laugh at me telling me "All the best" in a very fake way..

Thursday...

Got this young boy 19yrs old fly in from J.. Intubated but each time put on ventilator will be in diestress so keep bagging till i can't stand as there were still many sick pt to attend to so told them to put a higher PEEP and it help.. I suction the patient and found the suction catheter not able to advance in all so inform doc.. Later i left do other patient and not long my patient collaped.. ARRR.. They had difficulty bagging.. The bag was so tight.. I try suction same problem, informed but no1 seems to listen.. They were all out even thinking of ECMO.. My goodness.. AGAIN!!! But its 9 so hand over already.. Next day found out they struggle 4 the next 4hrs finding out after a brok tat it's ETT block with lots of blood clots.. Well tat explains the catheter not able to advance and later the doc recall me telling them TAT...!!!

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