Assalamualaikum..
I DON'T LIKE THIS
POSTING!!!
I always have that
phrase in mind waktu awal2 masuk posting o&g or lebih dikenali dengan
perbidanan&sakit puan. Tapi tu sume dulu hampir 2 bulan yang lalu..as time
passing, saya dah boleh adapt sikit..and my conclusion is "you can find
happiness if u're searching for it, although it is not an easy job to do"
Last Thursday time saya and kawan2 datang on call, ade dokter suruh one of us pasangkan branula kat sorang patient ni..dipendekkan kisah, saya yang kurang experience ni menjadi mangsa. Segalanya berjalan agak lancar hinggalah saat nak flush saline kt branula tu. Branula is a small tube inserted into a vein for introducing fluid or medication. Sepatutnya, flush tu dilakukan to test for functioning of the branula. Bila saya tanya dokter, die cakap "awk nak flush ke? Ikut suke la.." seolah mcm tak penting. *I don't know*.
So saya pun attach kan syringe yang berisi saline to the branula..dan dengan lemah lembut, saya tekan slowly..tapi mcm ade resistance to the flow..saya terus mencuba..and finally ade back flow yg menyebabkan everything terpancut to my face and my white coat. Ouch! Hanya Allah knows my feeling mase tu..takut masuk mulut..takut patient tu has any blood-borne disease..geli..and disheartened myself..nasib baik ade kawan2.. My conclusion is: branula tu tak berfungsi..tapi takde dokter yg nak peduli..so besok pagi patient tu akan dicucuk lagi sekali oleh morning shift HO..*poor patient management I guess*
Destination bertukar
ke labour room.and as usual, wearing mask is a must for me. First thing to do
when u're posted to labour room is seeing patient namelists. So bile tengok kat
board tu, there was one patient a primigravida at 37 week of gestation with
twin pregnnacy..that considered as special case. Itu yang menguatkan semangat 4 of us to stay
and observe her delivery..after hours of waiting, then only specialist asked
her to push.
That specialist scolded us for standing there and doing nothing..she said that medical student should also participate and conduct delivery..and we, as usual:*speechless*.
"You..(sambil baca displayed name on my coat) go and get your gown and sterile gloves ready!!"
Dalam hati saya
terfikir what is going to be next..tapi saya hanya mengikut order.
At ~2.30am, first baby was born with vacuum assisted. Ultrasound was done to look for presentation of the second baby..and it was cephalic. About one hour later, the head of the second baby muncul..crowning..bile kepala die dah keluar, that specialist took my hand and she asked me to conduct..*I'm shocked*..i did everything under her supervision..when the baby's body was out, I put her on her mother's tummy..i clamped her umbilical cord, cut it..and the baby is ready to be taken by nurse. After delivery of placenta, then only I knew that the twins are monochorionic diamniotic type..which we just discussed while waiting for them to come out. After that, I assisted the doctor holding speculum while she was suturing. Finally I unscrub myself at about 4 am.
Walaupun we had to stay longer, I felt worthy..and I learnt a few things..and I conducted a twin delivery..and I feel happy..and I feel better..and I have the spirit back..
Since case wite up
tak siap lagi..i couldn't sleep that day..sampai rumah at about 5am..terus
clean up the whole thing yang dah
berlumuran darah..solat isyak one hour before solat subuh..and print out write
ups..at 8am..pergi hospital as usual..and this gonna be my daily schedule as a
house officer in 2 years time.insyaAllah
*I should write what
ayah told me regarding my future..his hope on me..and my career.
-NuRFaLaH-
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