Hey!
First night duty is exciting.
It gets better if you have a familiar person posted with you .
So after a hectic morning shift , our second shift started.
Crazy patients for dehydration in the emergency OP .
The dogbite cases are another highlight of Fever Hospital. The OP is never ending .
In Emergency OP it was like offering Candies to the kids crying.
The people who had 2 episodes of motions refused to go without medication , so we had to make a compound prescription to send them away.
Pressurised admission
Abusive patient
I might sound blatantly loud on my blog but as a person / doctor , you find me quite polite . *Claps*
At 11:30pm, walked in a patient who had several episodes of nausea , vomiting . The thing with patients at Government run hospitals is that they try every other *Nuska* before landing here . He had taken medications for 1 day for typhoid , and the fever had not subsided. Yes , he belongs to a planet where typhoid fever subsides in a day! *Rolls eyes* His vitals were absolutely stable . He insisted on admission. I tried explaining him that the condition at this point doesn't require admission , since his vitals are stable.
Toh ab BP gira ke aana admit hone? *poker face dialogue*
Things got crazier when he banged the paper , threw the prescription and yelled :
Ch***yapa hai ye Government hospital ka , tumlogo ko ilaaj karna hi nai hai. Tumlog humlogo ke ilaaj ke liye hai. bla bla bla bla.
The ward boy came to rescue. After 10 minutes of heated arguments he left. This made me think of the trauma junior doctors face in ER and casuality. No wonder we need security. The concept of triage applies for admission too. There are obviously more no. Of patients in a government setting and its important to sort out people who genuinely require admission.
The Patient / Reporter
Oops moment! Sting operations are fun to watch . Its always been fun to watch that segment of news where celebrities are caught off guard . New to the setting , I didn't know that thermometer was available in the OP as I had not seen cointerns and senior doctors using it as an hands on tool for temperature. It was usually used for in ward patients.
So , this patient asked for temperature at 330AM . With Nursing staff fast asleep , I had no clue of what was to be done . A co intern who knew where it was , got up to get it. Meanwhile , I had a heavy duty argument with the patients father. He took his phone , started recording the setup, us sitting. I chuckled initially saying
Uncle , lelo lelo video .
My colleague had already recorded the temperature , but the man refused to listen. He blamed us for doing nothing , after being *paid* by the government. Ahem , ahem. Bla Bla , Bla Bla. My colleagues started to calm him down but of no use. He threatened to make the video viral .LOL!
A colleague was like , Acha hai ... Hum famous hotey !
Then came in our life support , the nurse . She yelled back , challenged him to show the video to the Chief Minister , Superintendent in a high pitch. The person calmed down. I wondered how yelling helps . The mother asked us if the prescription was genuine or we had written some OTHER medications because of the tiff.
I wish : Kaash! Laxative Likhdiya Hota. But ethics you know. 🙈
The Rapid Fire
The scariest part of a night duty is when you are chosen to knock the door of the senior resident to ask for a help or advice. Fortunately , the Resident was kind enough to come every time I called her .
There has to be a twist to things that happen to me . I was bombarded with question. It was like going to a battlefield without armour and shield . You're eventually wounded .
Its then you realise that not touching books for the 2 months in summer has evaporated all the medical crap you had been stuffing for 4 years .
ORS crackers .
The only thing we had been doing all night was distributing ORS packets to severe , mild , no dehydration patients like government distributes *Chaddar* to flood affected victims .
Facing diptheria suspect without mask .
We treat diptheritic patients like US suspects terrorists .
Muslim with a beard is a terrorist 😂 . Tonsil with a white spot is diptheria suspect. Hence direct admission first ; then investigation.
It was again my turn to call ask the senior doctor to admit him. The senior doctor asked me , diphtheria ka case hai? Acha.. Mask kaha hai tumhara .
This left me in splits . But then . Its ok feature got activated. Lots to share . But no time.
Thats all for today ! Bye!
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