Tuesday, January 06, 2009

A day in my life

this was one common boring Monday
1. Reviewed 12 patients
2. Discharged 7a 7 8 8a 9 12
3. Followed MO reviewing my rounds
4. Traced all results
5. Requested for urgent ct scan
6. Went to mortality meeting
7. Went for Friday prayers
8. Helped put brenula
9. Helped someone clerk
10. Helped someone remove CVP
11. Accompanied patient for us urgent
12. Cxr reporting
13. Us urgent for patient which had cxr reporting
For the patients not leaving:
1. One had hypokaliemia and anemia for FBP to find out why (probably because he has diverticular disease too)
2. Another is supposed to be refferred to HKL for further treatment
3. Another needs 10 more cycles of PD before discharge
4. Another developed temperature just after my review...but probably it’s URTI and we’ll discharge him tomorrow
5. One just had ultrasound TRO AV fistula of the femoral vein and artery- which he didnt have..but still needs to be reviewed by the nephro specialist before discharge
6. Another still has signs of fluid overload – his EF is 23%, the swelling was noted in gp long before...i dont know when we’ll be able to discharge this guy..probably when we’re satisfied with th eresults (it IS improving) and then we’ll refer to IJN again (he defaulted follow-up)

Things i found out
The patient at the back with chronic liver disease & massive ascites is transferred to acute d/t loss of cinsciuosness (E¬1M1V2)
The ex ivdu patient at the back with extensive tattoos and symptoms of gangrene 2o to emboli or DM foot ulcer is now in subacute
Half the Dengue patients are finally going back today
Anil might be extended
Kuhan will go to pediatrics
Why voltaren(diclofenac) could be dangerous (adv reaction- toxic epidermic necrolysis)
I’m still not sure what to do next
I’m pathologically addicted to mangas
I cant login to my ym messenger
And here is the rest of it.

No comments: