The pensieve - daily musingsAugust 31, 2006 9:27 pm

Being in certain departments like renal, neuro and onco is different. You build longer and more solid relationships with all your patients, because they tend to stay for longer periods of time, and they always get readmitted for stuff like infections, bed sores and stuff like that.

Somehow, over the course of 6 weeks, I’ve become more closely acquainted with quite a few of my ‘chronic’ stayers. And at times, I seriously feel like a ‘mother hen’. Don’t you dare laugh k! It’s the only phrase I can think of. It’s like how every morning I’d be playing hide-and-seek with this really mischievous ah pek, who’s like forever vigorously waving his non-hemiplegic side over the cot side and attempting (with success at times) to pat the nurses’ butts. haha… and then there’s this other guy who would shake the cot sides to draw our attention whenever he starts to desaturate, which, unfortunately, is getting increasingly common these days… Yup. And I’m like the only person who can score full marks with the charades we play every morning when the team visits him. (he’s unable to vocalise you see) And I’m also very good at understanding all my dysarthric/staccato speech patients :)

Just the other day, while in the other cubicle, we heard this horrible, wracking sort of cough and choking combined. The entire team sort of stopped and wondered who that was hacking away. And I went, ‘Oh, I think that’s Mr A’ and I swear, the team looked super amused as I ran over to take a look. Turned out, we had to send him down for VFS.

But of course, the greatest (or one of the greatest rewards) is when patients grasp your hands and say thank you to you. HAIII… It just makes all that smelling their shit, measuring their PVRUs and checking their bedsores daily just worth it! (Someone said he didn’t wanna go for inpatient rehab at AMK cuz he feels the docs in NUH are very caring :) )

But then again, you get those ultra duper black sheep once in a long while who messes up everything from your emotions to your bonus and might even cost you a lawsuit! I had the unfortunate eye-opener, though I wasn’t exactly directly embroiled… my poor team.

Hmmm, if I do become a consultant, (which I have no confidence I ever will), I think I’ll be one of those super anal ones. Who’ll be very protective over my own patients and will want the best and most thorough treatment for them. (and probably all the other nurses and docs from other dpts will talk behind my back about my ‘anal-ness’) Anyway, till then… haha… DREAM ON!

The pensieve - daily musingsAugust 30, 2006 10:28 pm

YAY, meet my new and best friend I’ve made in SIP!

Non medical pple can tune off now. While I go into blood-sucker mode. (someone called me ‘queen of the damned’… haha)

butterfly needle

The so-called ‘butterfly needle’ is like a godsend whenever you have to take bloods from patients with fine veins, or patients who are restless/tend to twitch (we get twitchy ones in neuro… seizures and stuff…) or those who just squirm cuz of the pain. Yup. When you use the usual blue needle, the vein bumps, or you go through-and-through if you just move a teeny weeny bit (especially if it’s one of those spidery veins)… plus, it’s so much easier to take blood from ankle veins using this needle.

Apart from that, it’s also easier to do a wrist ABG using it (unless your patient is rolling in fats) as it’s less cumbersome and allows better control of the needle.

I attribute my wonderful 29 hours of 100% rate with all procedures to this, it works wonders, even with renal patients! hahaha…

The pensieve - daily musingsAugust 26, 2006 4:32 pm

stupid haze. can smell it all over the place, and it has to come when i’m down with URTI… AAAAARRRRGGGHHH! just aggravates matters. and then just yesterday and today, some people found the rubbish chute downstairs FUMING with smoke! think some crazy vandal has been throwing smouldering papers or stuff down the rubbish chute! i hope there won’t be any fire… it’s quite scary to think about it.

haiz. and i’ll be on call tomorrow with er… well… so… sob sob sob, anyway at least it’s the last call. and this coming week is the last week in SIP. gonna miss almost everyone in the team, some of the nurses and haha interestingly, even the ward clerks. lolz…

hai. so sian. no voice = no talk = no energy = major sian.

The pensieve - daily musingsAugust 25, 2006 10:50 pm

(entire conversation is in Hokkien)

Doc: Ahma, put your finger like this, touch your nose, then touch my finger…

The ahma is unable to follow instructions very well so the doc tries to hold her hand and demonstrate it to her.

… the auntie starts digging her nose…

EUW…

(Nurseand SIP students start giggling… Pt’s son feels really bad… )

After some coaching, the ahma finally manages to get the gist of things. only that…

Instead of touching her finger to her nose, she would stuff her index finger UP her nostril, do a little dig, then touch the doc’s finger!

euw.

The pensieve - daily musingsAugust 24, 2006 10:34 pm

Incident no. 1
Right before the talk at UCC, I was scanning the crowds for fellow friends. Then… I saw this super dark guy, cool looking clothes and I was like, ‘HEY THAT’S R****!’ It’s kinda exciting and nice seeing your ex-cg mates rite? So I tipped toes a bit and started waving my hand vigorously, shouting ‘HEY R****!’

argh.

Within a few strides the guy was about 7m away from me when I realised, to my abject horror that it wasn’t R****! So I had to like pretend that I was waving at someone else behind him.

-_-

Incident no. 2

I thought I’d be friendly and so today, while on the way back from lunch, I waved and said HI rather loudly to who I thought was the SIP student attached to cardio ward… He was about 5m away from us… then to my horror again, I realised that I was mistaken! GULP!

ARGH… Ree and my HO were sooo amused… and they kept accusing me of flirting with that guy la… wa lao… The HO said, hey I think that was one of the year threes in our ward, nevermind la, he’ll just think you’re being extra friendly and nice.

EEEE so embarrassing la… I hope pple don’t think I’m some kind of paedophile. GULP.

-_-

The pensieve - daily musingsAugust 22, 2006 10:29 pm

For all who are not familiar with medical jargon, the HO is the House Officer, the one at the bottom of the foot chain

100 percent pure HO

The 100% perfect house officer should have the following desired qualities:
1. stomach of corrugated iron - cuz u might not get to have dinner, midnight snack or breakfast after all! in fact it’s more practical to just give yourself some gastro-protective agents. heh. like nexium.

2. an indwelling catheter. it’s both prophylactic as well as therapeutic. prophylactic to prevent UTI from all that chronic retention of urine since we dun have time to go to the loo. therapeutic in cases of ARU aka acute retention of urine. hahaha… and i suppose it could help chart our own i/o (intake-output) chart better. can maintain hydration status while on call.

3. big pockets - to carry extra plugs, needles, syringes, swabs, connectors and watnots. the extremist would probably attempt to carry culture bottles and sterile gloves along as well. hah!

4. the uncanny ability to withstand oily, dusty hair all night and all through the next day too! ewww…

5. hooked up to an iv drip of D5/10 with caffeine added…

6. insensitive nose - to all stench (such as your own B.O.) in addition to the usual dirt, vomitus, urine and shit from your patients

7. do an ECG in 30s (chk out SA’s blog for instructions), do a blood culture with complete ASEPTIC technique in 7min, bloods in 3min and so on…

8. have multiple limbs to do ECG plus ACS (one of the blood tests) together hahaha… especially in hospitals where u are expected to do all ECGs yourself.

9. the astonishing ability to compartmentalise packets of information. namely, one package for hypocounts, another for x-rays, blood results, another for breathless desaturating patients, another one for chest pain… and so on…

10. this i’m not joking, you’ve got to be helpful! for example, if you are having a helluva good time lazing around, you should go look for the other two HOs and see whether they need any help. :)

The pensieve - daily musings 4:46 am

After 4 weeks of sisterhoods and brotherhoods…

some of us have gotten dual names…

Re… -> Roman (why can’t we call her Romeo instead?)

De… -> Dillon

Li… -> Lincoln

Ia… -> Irene

Ku… -> Keidi

Which leaves just SA, SY and ZH.

May i suggest:

Su… -> Susan

Sh… -> Sheryl

Zh… -> this one’s a bit tough. how about ZARA? it’s branded too! HEE…

The pensieve - daily musingsAugust 20, 2006 7:58 pm

Mother: where’re my specs? (she’s said it a total of four times ever since saturday)

Bro: where’s all the charcoal pills? I’m still having diarrhoea! Who ate my charcoal pills…

Father: where’s my handphone huh? LQ did you take it? WQ quick return my phone to me, you’re smsing on it again rite?

(he then proceeds to use the home phone to call his mobile, which bursts out in it’s staccato-mechanical nokia tune…)

Father: where’s the phone? Where’s that ringing coming from?

Me: where’s my new mice? Mouse? TWO mouse, no mice… Anyway, who cleared the boxes from my room? They’re my new mouse! I have two new mice and I need them now…

SustenanceAugust 19, 2006 11:12 pm

LOOK, my mum finally got cracking and decided to explore her new oven!

-> PEACH MUFFINS!

muffins

Sadly, as we’ve been taught so many times, ‘don’t judge a book by it’s cover’…

haha these muffins were quite INEDIBLE! 好看不好吃。。。 even i can’t understand why, the muffins tasted fine on the outside, but the insides looked insufficiently cooked, kind of mushy…

WENKY, any idea why?

The pensieve - daily musingsAugust 18, 2006 8:19 pm

ok cat playing dead = very cute. haha…

meow

nico’s new ‘baby’