I am cold~~~

Monday was my 3rd on call day and i think it is and will be the best call i ever have!!!

0 admission!! ya...zero admission an the inpatient were all very good boys!!!! I managed to sleep from 930pm till next morning~~~~yuhuu~~~( i was waked up by staff nurse at 3am for a patient with high BP la, but later i slept back pun) Surposingly i can sleep well but somehow u cant sleep peacefully when u on call. U will anticipate the staff nurse to call u for new cases and if ur pager or phone doesnt ring, u will feel something not right..I even suspect the phone line in my oncall been pulled out..haha...strange feeling.. The next day, i was said to be "cold"...HOT means many admissions, COLD means less admission...so, ya..i am super COLD on monday..

My 1st call......patient shouting for pain in the ward, waked all the other patient.....Hey, i just gave IV Traumal 5 minutes ago and patient still kept shouting...faint..okay la..i admit i am not that generous in giving pain killer...end up another shot of IV Pethidine solved the problem...

My 2nd call, i will remember it forever...My first time of prounoncing death...i clerked him, i reviewed him everyday,and i withnessed his BP, SPO2 drop and there is nothing i can do....The patient was not for active resuscitation, he had colon ca with liver metastasis. If i give him inotrope, he might can tahan for longer but the outcome will still be the same..Eventually he will pass away..so am i doing the right thing?sigh...

There are many many more calls to come..I hope through time, i can handle the situation better and day day have a nice call as Monday~~

and ya..i have multiple calls with MO that is hated by everyone in the ward..and so ngam she changes her call on Monday with a nice nice MO. Perhaps that is the reason why i get a good call?keke...