DR. WAJEEHA ISSUES

Hey all It's when you're sick you realise , you are important . The one who needs your attention the most is yourself.There were days when I thought about career , people but now I only think about the body I plan to live in till the end of my life.  It’s then when you realise you need your time , you want the time to slow down a bit so that you can heal your tired body. It’s then you realise you need care and attention from your loved ones. You know it’s viral fever , you know it will have its own course , you know it’s benign ... still you seek some empathy and attention. That’s human . That’s us . So far so much

Hey all 9pm . Chill ER . A 53 year old male Diabetic ,CAD , Stage 4 CKD on hemodialysis who had 2 fingers amputated earlier came complains of swollen lower limbs with non healing wound which developed gradually following rupture of a bleb. The last serum creatinine was 5 mg/dl. On local examination , the wound was foul smelling with pus oozing out.  We examined the wound and called up the consultant surgeon to come and have a look. He walked in examined the wound advised color Doppler of lower limbs . Nephrology referral and was about to leave when a 35 year old lady bumped into him. Who is she? He asked.  Umm... Sir , I don’t know who she is sir . I didnot take her history yet. Let me see . He turned back. A wooden stool had apparently fallen on her trunk leaving the right side of her chest wall in pain.  There were no external injuries. The area was tender . The only complain she had was pain. She was hemodynamically stable n coherent with her surroundings.