Finished rounds in paeds ward,All ill kids,mainly pneumonia's and AGE,all post gawai syndrome.Almost around 30patients(which i think is quite a lot for a district hosp,hats of to the doctors here),discharged quite a bit.Started my call around 1,like how my collegues described before it was a circus,polyclinic are not open so they flock the ER(funny how it actually stands for Emergency Room).
Admitted quite a number to medical and paeds.Got called by the labour room to review,sigh in my head i'm thinking,noooooooooo,give me anything but a c-sec(so negative but wht to do there r only 3 of us here who r not experienced in c-sec).This indon lady,difficulty pushing,os full for 1/2an hour,well called the specialist in Sibu,
She asked me "Have you done 2nd stage c-sec before"
Me - "Gulp....,ermmm no only normal elective one's 1and 1/2 yrs ago"
She - "The baby HAS TO deliver vaginally ok , if really cant then call i'l teach u,but try"
Sigh of course we tried,and thank god she delivered,but baby wasnt so good,nearly intubated but thank god improved.A few hours later still lots of cases waiting in ER,admitted more.
Around 1am when for rounds(paranoid me)just to make sure the admitted cases were alright.Tried to sleep around 2,was called to ER at 3 ,finished around 4 ,slept again,in between got many calls,but somehow couldnt sleep.Eventually woke up and went for rounds,literally didnt sleep the whole night,almost like during housemanship i guess
Monday - Kapit Hospital (Relieving Day D6)
Started my rounds in the paeds ward downstairs and the overflowed upstairs,eagerly waiting for the new permanent MO's.Eventually finished rounds around 11.3o,since no mo's yet went to medical as well to cover and start rounds.As soon as i started with one patient,got a call from my MA
"Boss ada baby sini,SPO2 under high flow only 80something,lungs banyak ronchi"
I said continue neb i'l come and c
Child was about 11months,breathing so fast,lungs in betweeb the neb was silent,which was a really bad sign,although he was still crying a little,i was freaking,cause i knew there's only two doctors in the whole hospital that day.
Anyway after the nebs,called the paediatrician in Sibu,of course he gave me a hard time,i told him,there's only 2of us,i cant even think properly coz i'm post call,thank god for the adrenaline drive,was so afraid(in my mind the only thing playing was this child must survive)if it wasnt for the help of the nurses and MA's we couldnt have done it.After a long time intubated,and started the kid on bicanyl infusion(something stronger and rarely used for the wheeze).By the time i finished was around 4 and i hadnt even started rounds in the medical ward and no lunch,so exhausted.
Did quick rounds,but even then finished at7pm,was to hungry,so ate,bathe then got back.Still had to do my discharges from morning thank god my other collegue helped me,the other mo was back so he was on call.Finally finished everything at 10pm.
An absolutely crazy 48hours,it's ridiculous for just 2 mo's,not fair even,but even in the past the mo's here have been suffering as well.It's really not fair to the people but of course we all think of ourselves first,it's so inaccesible,after 3 there no way out if there's an emergency.For docotor's getting leave is an absolute no no,sigh,this town definately needs more,this whole state actually.Why cant they give more allowances and benefits to those who come,it's not such a bad place just the logistics.Prices of things are expensive as well.Think they've been trying for sometime to change but to no avail,hoping with the number of doctors coming there will be a change,of course this is just us hoping
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