Was oncalled yeterday..
Sampai2 je was informed by mo the previous day ade 2 unstable pts who need urgent referral..
I was intubated a pt in female ward when my specialist asked me to go and settled the pt in male ward..
Therefore i need to ask another person to come intubate d pt in female ward..anaes was busy in the ot while o&g was busy in d labour room..luckily casualty mo was quite inoccupied thus he came to a rescue...he intubated that pt while i went to intubate a pt in male ward..i didnt have much time to do ward rounds..i need to do everything quickly..had multiple issues while referring those patients..one to the husm and the other one was heading to hrpz..
I went to accompany that particular male pt to husm..his blood pressure was so labile..already on maximum triple inotropes..sangat cuak ok!afriad that he would passed away in d ambulance..sampai half way kat pasir mas oxygen tetibe buat hal..terpaksa la stop kejap tepi jalan settlekan oxygen tank semua tu..lepas tu seb baek ok..went there before azan zohor and arrived back in htm lepas azan asar...tak makan pape since morning and my godddd soooo hungryy kot..dah la x sempat nk pump..breast sgt engorged kot!sampai2 je i pg cari air and solat and pump..masa pump tu i dengar my precious ipod nano..lepas settle semua tu i had my breakfast and lunch n dinner around 530.thanks to my sis aisyah who bought me nasi with sup gear box...
Then lepas abis sume i went down to male ward to continue my rounds and tgk new case..after siap semua went back to oncall room only to notice that my earphone was gone!!!ipod nano ade je..try tgk dlm beg and sume mmg xde..pelik x earphone je ilang???asked my fellow colleague and die xde namoak pon..huhu..so yes..somevody stole my earphones!!!!!!!

d101 from ireland with love

.::yeay dapat baju cork satu!!!::.

.::tok umi and tokwan bought these for marissa...and some was given by ayah sop and acik sarah..hehe::.

d100 : hantu

as a doctor i believe that setiap penyakit tu ada ubatnya dengan kuasa Allah insyaAllah akan sembuh...
and as a muslim i do believe that adanya makhluk Allah selain kita manusia.
i start keje ari ahad kan...
ari ahad tu i left marissa and my bibik kat rumah my auntie..
balik keje tu i pergi kbmall dulu amik my grandmother and pergi rumah my auntie..
then masa tu marissa nangis so i directly breastfeed her dalam kete..
masa tu x mandi lagi and still pakai baju keje...xleh nak avoid kan..
lagipon rindu sangat nak cuddle marissa...
malam tu marissa bangun kul 230 nangis kuat gile yg refuse breastfeed and refuse bottlefeed..
so we thought that maybe die kembung perut kot..
so kasi gripewater and tukar pampers sume lepas kul 4 baru ok..
monday tu i mandi dulu before i pegang marissa and i tak g hospital pon sebab ade course kat kb..
and still she woke up around 2am and started to nangis-inconsolable crying...
kul 4+ baru ok...so still we thought that she might has gassy stomach..
but this time we pasang ayat quran and die stop...
ayat quran kan soothing for the babies..so alhamdulillah she stopped crying..
peliknya lepas kul 5 or 6 die akan senyap and tdo..lepas tu siang ari and before 12am tu memang die main2 mcm usual..boleh feeding ok..
lepas tu tuesday daddy die oncall..so we slept in my umi's room..
kul 1am she started to cry...memang yg refuse breastfeed and bottlefeed jugak..
stopped upon baca ayat kursi..
pastu mata die mcm staring je..
mcm nampak something pelik..
nangis ni yang sampai keluar air mata semua..
kesian sangat tapi xle nak buat..
my mom x tdo pon sebab jaga marissa..
lepas tu wednesday i was oncalled..
my mom tdo ngan my sister and yes she still crying,,,kul 1 je nangis..
memang pelik la kan..
so yes..
we were thinking of something else..
sebab automatic stop crying when kiteorg baca quran..
takut "something" is following me from the hospital and kacau marissa..
sebab the symptoms started since i start keje balik..
so semalam bawak marissa jumpe ustaz..
die kata ade "something" ikut i and kacau marissa..
die suruh baca ayat2 kursi 11x, al fatihah 11x, 4 qul 11x dan selawat ke atas nabi 11x selepas solat everyday..at least sekali sehari..
that actually was the first differential...-mistik..
kita tak tahu betol ke x..tapi kalau pecaye takut syirik and khurafat kan..kita ikhtiar je and insyaAllah serahkan kepada Allah untuk tolong hamba-hambanya..

that was the first differential..
the second differential diagnosis - marissa merajuk..
maybe die merajuk sebab mommy die keje and tinggal die..
die kan 3months dok dengan mommy je siang malam..
then out of sudden kene tinggal from 7 till 6pm everyday and kalau oncall 7am till 6pm the next day....
so die merajuk sebab mommy tinggal die..
ade possibility kan?

3rd- kembung perut..
maybe die kembung perut..
tapi malam2 je?
maybe ebm yang dipanaskan tu masa i makan kacang sume so kembunglah die..
wallahualam..

d99 :oncall

first oncall..
was called by casualty team at 2oclock with 4 new cases..
hahaha..
went to review a case in which ive told the fms who referred that case to me to directly send the patient to hrpz2 because she needs to be dialyse there...there is no emergency slot for dialysis in htm..and we cannot do peritoneal dialysis to that patient. she already developed a complication from prev pd.
that fms didnt tell that to the patient and she didnt give any options to that patient..she just directly send the patient to htm...
consequences?delayed treatment...
she was sent by the fms to hospital tanah merah which already took them few hrs to reach htm.. then it took them few hrs to be transferred to hrpz 2..
delayed treatment..
fms tu mesti takut nak refer case to kat hrpz2..nape nak takut eh?

d98 : pre call syndrome

Pre call syndrome..
my husband is oncall today..
i need to drive alone from tm-kb today...
was quite tiring but it was not that bad..
i am independent lady..hehe..
drove my husband's kia sportage for the first time..
ngeeeee
i dh kemaskan baju oncall and semua malam lagi sebab takut tertinggal..
owh and did i tell u that i need to send back my new iphone 4 to the celcom?
it has a defect...
sedih kan?
now im using my iphone 3g yang terjumpa dlm laci..ngeee

d97 : tok umi and tokwan

tok umi and tokwan dah sampai rumah...yeayy!!!
marissa rindu snagat2 tok umi and tokwan!
i didnt go to hospital tanah merah today..
i went to pejabat SUK instead...
i had sepsis management course today...
was a very good course actually..
really enjoyed it..=)

d96 : first day at work

Was initially a bit nervous to go back to work..afraid that i would do any simple foolish mistake that would end up in catastrophic result.but alhamdulillah everything was quite okay.. everyone still recognizes me and i met with my new speacialist...hes very nice...tried my best to make a good first impression...the best thing about today was that everyone said that i looked like anak dara..hahaha..diorg cakap mcm x penah pregnant...ahaha..ade jugak yang kata kurus sangat x cantek..hehe..xkesah la as long as i am happy..ngeee...
my day was quite busy as compared to before..i had to rush to oncall room everytime i had a 10minutes-break to do a double pumping...last time i would normally enjoy the music from my ipod while lying down but today i had no time to lie down...my precious lunch break was all dedicated to breast pumping..=D

d95 : new iphone 4s in d house

Got a new iphone 4s..thanks hubby..=)
mood : excited