Thursday, December 16, 2010

What the ...

"Hello, May I speak to any houseman?"
"Ya, speaking." I spoke gently
"May I know who is on the line?"
"Bernard here." I replied
"I m Rose, calling from labour room. Just want to inform u a baby born flat.
It s a term baby, Mother suffered from APH....... "
"Ok, Ok! I just want to know how is the baby now."
"Baby still flat, can u come over?"
" Sure, coming!"
In a few second, I ran in a speed of 3 x 10^8 to the labour room.
First thing in the scene was ONG MO bagging baby using PPV.
The baby looks pink, still limp.
"So, did u call ur MO?" That Mo asked
What the ..., "If u want a MO to attend, what for u call for HO." I spoke to myself, but at the same time i walked to the phone and called MO.
When paeds MO arrived, and the ONG MO started saying,
"Just now the baby born flat, heart rate about 60-80 bpm. After 30 secs PPV, still not improving, we started CPR...."
"What... I guess that is too early, Are u sure the baby needs CPR?"
"Well, maybe too early. Anyway, the baby now started crying. Still nasal flaring. Can send to SCN for further management."!@#$%^&*
That is too "incredible"...
Like "MO" like "HO".

小儿科的点滴

来到这个部门两个月,
其实很多东西要分享,
不过就是很懒得去写它。。。
一开始时,好像什么都不会,
唯一比新人强的就是会用tpc(teleprimary care)。
不过,在这里做工也比上次快上手,
大概一个礼拜就能完全投入工作环境。

这当然还要感谢senior HO 和MO 们,
如此的善待我们,不吝赐教,
而且不断给予正面的鼓励,
让我可以快快得心应手,快快off tag。
第一次做Lumbar Puncture时,
真的超感动的,
不过做久了,
变成另一个很普通的procedure。

令我烦躁的是小孩子此起彼落的哭喊声,
时而震耳欲聋,时而可怜兮兮,
让我不懂该sayang他,还是该骂他。
不过,有时候他们可爱的样子,
还逗得我开怀大笑,
也难怪耶稣说,
要让小孩子到他面前来,不可以禁止他们。

对小孩子,真的需要很大的爱心及耐心。
可想而知,小时候爸妈又要做工养家,
又要耐心地来“侍候”我们这些小孩,太辛苦了!
在拿血的时候, 要等血慢慢滴。
在clerk case, 要慢慢问。
在检查他们时,要慢慢哄他们。
真的好不容易啊!

终于到了neonates,
不用什么哄他们,
不过看到那些瘦小的身躯,
总是觉得好可怜他们,
全身插满插管。
有temperature probe,
NG tube, ETT, apnoea monitor, etc...
然后接下去的几个月就是等着体重增加,
才有可能出院。
一住就是好几个月,
结果又是等、等、等。。。

在这里生活忙碌,
不过很充实。
因为常常必须有assessment,
才会想啃书,认真念书,应付考试。
而且虽累却开心,
因为有这么多的小天使,
陪伴着度过每一天。

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