It was an extremely interesting on-call yesterday.
At about 7 pm, I was called down to Resus in A&E. When I arrived, I saw this extremely drowsy but rousable girl. Her fingers were icy cold with mildly cyanosed fingers. Her blood pressure was in her boots; it was barely recordable! She was also tachycardic and tachypnoeic. Luckily her mother was around to provide us with some background information.
We soon found out that she was recently diagnosed with Addison's disease. She has been vomiting for nearly 1 week. She did not have any diarrhoea. Her mother insisted that the patient has been compliant with her daily steroid tablets. Addison's disease is a rare illness in which the adrenal gland fails to produce adequate steroid hormones. Steroid hormones are important to enable the body to function efficiently, especially at times of stress. Treatment for the illness would include replacing the steroid hormones by taking life long steroid tablets.
It was obvious that she was in Addisonian Crisis!! It is a potentially fatal illness. Immediately, she was given a dose of IV steroid, broad spectrum antibiotic to cover for possible sepsis (although I could not find a source of infection at that time), and fast fluids. Despite all the fluid challenges, her BP hardly responded.....at best, the reading was 40 systolic!!! I could hardly palpate her brachial or radial pulses. To make matters worse, she hardly passed any urine after 4L of fluid!! I understand that those with Addison's will have hypotension......but I was not sure whether her low BP was purely due to her Addison's, septic shock or simply dehydration.
At the end, I had to contact ITU for assistance, and subsequently, she was started on an infusion of noradrenaline to improve her BP. Fortunately, she responded well to this. Today, she was sitting up on her bed, happily chatting away, when I went to check on her. Her BP was 120/60 (obviously with help from noradrenaline).
The interesting thing about her was actually her chest x-ray. Her first chest x-ray when she was in resus was actually normal. There was no focal consolidation. However, after having a central inserted, another chest x-ray was requested in order to exclude a pneumothorax and check position of the central line. It was in this second x-ray that finally we saw the source of infection. She had severe bibasal consolidation! So, she definitely had a really bad pneumonia. Fortunately, she already received a dose of ceftriaxone, which is good in pneumonias.
However, I really do not understand why there was no consolidation in her first x-ray. I mean, it was only 2 hours difference between the 2 of them. One of the anaesthetics SHO believed that patients are too dehydrated and shock when they first arrive in the hospital. As fluids are provided, the body starts to fill up and as a result, the mucus pluggings in the chest start to loosen up, and hence, that's when the abnormality shows. I don't know how true this is....but it sounds a reasonable answer.
Anywho, she was a good case. She was my first Addisonian Crisis patient. The other interesting patient was an elderly gentleman who I believe presented with urinary sepsis. He was in acute renal failure, with a creatine of 786!! And he was profoundly metabolic acidotic with H+ of 80, bicarbonate of only 5! Also, he had amazing ECG changes due to his hyperkalaemia! There were wide QRS complexes and tall tented T waves. His potassium was 7.8. He must also be extremely septic. His urine looked like pus....it was thick, turbid and smelled horrible! urgh... never seen such a yucky looking urine ever!
It was a really busy on-call but surely exciting. On-call again tomorrow...hope it's a little better.
Tuesday, March 31, 2009
Sunday, March 29, 2009
Brew...ha ha, anyone?
It was a lovely weekend. It hardly rained. The sun was shining brightly, but the wind was extremely icy. So, it was quite cold, to be honest.
I woke up very early on Saturday morning, and managed to catch the qualifying round for the Australian F1. I haven't been to the gym all week because I was busy at work, so I decided to head to the gym to do my usual 5k run. I felt refreshed after that. My endorphin levels were starting to rise.....and I felt like doing something in town, ie shopping or catching a movie.
Jaclyn, Kevin's sis, invited me to catch a movie at the cinema. Before the movie, we went to this cafe called "Brewhaha." Yes, funky name, eh? I do wonder why it is called Brewhaha. It is a specialised tea shop, that also sells yummy cakes and sandiwches. It must be that upon drinking the tea, you'll be happy.....therefore, the "ha ha" bit of the name.
I had "Calming Tea," which was a mix of honeybush, vanilla and some flower petals....the taste was a little bland...but it was nice. Jaclyn had "Feel Good Tea," to soothe her tummy. We also had a slice of Lemon Drizzle Cake and Ginger Loaf...oooohh....yum yum. Would certainly go back...and this shop in Glasgow is the first tearoom for Brewhaha. You can check the shop out at http://www.brewhahaltd.com/
After adding more endorphins to our system (ie indulging in tasty food), we watched Duplicity. Oh...I really am so in love in Clive Owen. He is really hot. And I love the collaboration with Julia Roberts. If I have not mistaken, this is the 2nd time both of them worked together. The first movie was "Closer." The movie wasn't great....but the witty lines were funny.....and just ogling at Clive Owen was enough for me!
ahhh.....guess the nice time spent has compensated for my 1 hour less Sunday.
I woke up very early on Saturday morning, and managed to catch the qualifying round for the Australian F1. I haven't been to the gym all week because I was busy at work, so I decided to head to the gym to do my usual 5k run. I felt refreshed after that. My endorphin levels were starting to rise.....and I felt like doing something in town, ie shopping or catching a movie.
Jaclyn, Kevin's sis, invited me to catch a movie at the cinema. Before the movie, we went to this cafe called "Brewhaha." Yes, funky name, eh? I do wonder why it is called Brewhaha. It is a specialised tea shop, that also sells yummy cakes and sandiwches. It must be that upon drinking the tea, you'll be happy.....therefore, the "ha ha" bit of the name.
I had "Calming Tea," which was a mix of honeybush, vanilla and some flower petals....the taste was a little bland...but it was nice. Jaclyn had "Feel Good Tea," to soothe her tummy. We also had a slice of Lemon Drizzle Cake and Ginger Loaf...oooohh....yum yum. Would certainly go back...and this shop in Glasgow is the first tearoom for Brewhaha. You can check the shop out at http://www.brewhahaltd.com/
After adding more endorphins to our system (ie indulging in tasty food), we watched Duplicity. Oh...I really am so in love in Clive Owen. He is really hot. And I love the collaboration with Julia Roberts. If I have not mistaken, this is the 2nd time both of them worked together. The first movie was "Closer." The movie wasn't great....but the witty lines were funny.....and just ogling at Clive Owen was enough for me!
ahhh.....guess the nice time spent has compensated for my 1 hour less Sunday.
Saturday, March 28, 2009
Please Do Not Take Me for Granted!
I was talking about moving on to a new place for my next job...and also, how much I am looking forward to the change. I spoke about my housemate....who can be so irritating at times. I have decided that, if she doesn't care about how I feel, why should I? So I am going to b**tch about her now.
Honestly, I do not think I am being picky or difficult. Think the problem is with her.
First of all, she does her dishes probably 2 -3 times per week. I mean, ok, fair enough, you are busy (when she only works from 9-3 pm daily). But, leaving your dishes in the sink, with all the food stains still stuck on it....is pretty unhygienic, don't you think? I am happy if you wanna use the pots and pans, but I am also living in the same house. And when I come back from work at 7 pm or later, I would like to prepare my dinner too. How am I going to do that if you have used them all up and not even bother cleaning them up?? I have washed them myself many times...but you know what, there is a limit to do that. I know she feels guilty sometimes about that, but she doesnt care less. If you were THAT busy, how could you be lying down on the couch from 6 pm to midnight, watching the telly? yeah...exactly.
Secondly, she has taken me for granted. Her notebook broke down TWO years ago after she spilled water onto the keyboard. I told her to get it repaired, but she only took it to her friend, who doesn't really know much about computers. Silly I thought. Anywho, she decided that she could use my notebook from time to time until she gets one. I caught her using it a few times, before even asking my permission. She must have felt awkward when I saw her in my room, clicking away at Bebo or Facebook.
I still remember what she told me, "Ling, do you mind if I use your computer to check my emails and stuff? I don't do that often...just once or twice a week....while I get myself a new computer?" I just said ok. TWO years down the road, she uses my computer everyday, she even uses it to bid for things on eBay, and other internet shopping.....and WORST of all, she has decided that the computer also belongs to her, and she has allowed her friends INTO MY ROOM and USE MY NOTEBOOK!!!
NOw now now now now......that is SO CROSSING the line. I mean, that is MY ROOM, and that is MY NOTEBOOK, who gives you the right to allow your friends to use my things?? I do not even know your friends...i know their names...and thats pretty much it.
I was so pissed off. I told her I was not happy about that. She just said "Ok." No apologies whatsoever. I thought that maybe I over reacted....but having spoke to my fellow colleagues at work, who are Caucasians as well, they agreed that my housemate has stepped on my tail.
I am not a calculative person at all. I gave her half the amount for the TV licence because she said she doesn't have much money. I hardly watch the telly because she hogs it from 6 pm to midnight, and also the weekend, watching soaps and DVDs....which is fine. I am not going to push her away just because I wanna watch a few of my interesting series. Now, she uses my internet connection and she uses my notebook DAILY....shouldn't she give me some money then?? Oh oh oh....did I forget to mention that she also uses my printer from time to time, without even asking me? How do I know, simply because she never puts things back in the same order!
URGGHH.... more recently, while she was using my notebook in my room, she felt her empty tea cup and an empty chocolate bar wrapper on my table. This is again, not the first time. She has left tissues on my bed and on the table in the past. She laughs away when I told her about it. She must have found it funny....I dont know.
She boils me up sometimes. I could go on and on about her annoying habits. I sure have some silly habits too, but I never take her for granted. She is, otherwise, ok to get along with. I have lived with her for 3 years, and I think I have tolerated her very well.....but I am losing the plot already. Oh, can't wait to get away from this flat...... although, I will surely miss the convenience and comfort of this cosy little flat.
Honestly, I do not think I am being picky or difficult. Think the problem is with her.
First of all, she does her dishes probably 2 -3 times per week. I mean, ok, fair enough, you are busy (when she only works from 9-3 pm daily). But, leaving your dishes in the sink, with all the food stains still stuck on it....is pretty unhygienic, don't you think? I am happy if you wanna use the pots and pans, but I am also living in the same house. And when I come back from work at 7 pm or later, I would like to prepare my dinner too. How am I going to do that if you have used them all up and not even bother cleaning them up?? I have washed them myself many times...but you know what, there is a limit to do that. I know she feels guilty sometimes about that, but she doesnt care less. If you were THAT busy, how could you be lying down on the couch from 6 pm to midnight, watching the telly? yeah...exactly.
Secondly, she has taken me for granted. Her notebook broke down TWO years ago after she spilled water onto the keyboard. I told her to get it repaired, but she only took it to her friend, who doesn't really know much about computers. Silly I thought. Anywho, she decided that she could use my notebook from time to time until she gets one. I caught her using it a few times, before even asking my permission. She must have felt awkward when I saw her in my room, clicking away at Bebo or Facebook.
I still remember what she told me, "Ling, do you mind if I use your computer to check my emails and stuff? I don't do that often...just once or twice a week....while I get myself a new computer?" I just said ok. TWO years down the road, she uses my computer everyday, she even uses it to bid for things on eBay, and other internet shopping.....and WORST of all, she has decided that the computer also belongs to her, and she has allowed her friends INTO MY ROOM and USE MY NOTEBOOK!!!
NOw now now now now......that is SO CROSSING the line. I mean, that is MY ROOM, and that is MY NOTEBOOK, who gives you the right to allow your friends to use my things?? I do not even know your friends...i know their names...and thats pretty much it.
I was so pissed off. I told her I was not happy about that. She just said "Ok." No apologies whatsoever. I thought that maybe I over reacted....but having spoke to my fellow colleagues at work, who are Caucasians as well, they agreed that my housemate has stepped on my tail.
I am not a calculative person at all. I gave her half the amount for the TV licence because she said she doesn't have much money. I hardly watch the telly because she hogs it from 6 pm to midnight, and also the weekend, watching soaps and DVDs....which is fine. I am not going to push her away just because I wanna watch a few of my interesting series. Now, she uses my internet connection and she uses my notebook DAILY....shouldn't she give me some money then?? Oh oh oh....did I forget to mention that she also uses my printer from time to time, without even asking me? How do I know, simply because she never puts things back in the same order!
URGGHH.... more recently, while she was using my notebook in my room, she felt her empty tea cup and an empty chocolate bar wrapper on my table. This is again, not the first time. She has left tissues on my bed and on the table in the past. She laughs away when I told her about it. She must have found it funny....I dont know.
She boils me up sometimes. I could go on and on about her annoying habits. I sure have some silly habits too, but I never take her for granted. She is, otherwise, ok to get along with. I have lived with her for 3 years, and I think I have tolerated her very well.....but I am losing the plot already. Oh, can't wait to get away from this flat...... although, I will surely miss the convenience and comfort of this cosy little flat.
Sunday, March 22, 2009
You're Hired
" Thank you for recently attending our assessment centre / interview. I am pleased to offer you a CMT CT1 commencing on Wednesday, 5th August 2009."
Yes, I'm finally hired!! I have managed to secure a job!! Yay!! I am so SO SO happy, and feel so glad. Yay for me!! hehe. Actually, the offer email was sitting in my inbox on Friday, but I only checked my inbox on Saturday evening!
After 3 painstaking and emotionally wrecking interviews, I finally get into the medical training system! The anxiety before the interview could literally give me a heart attack. The uncertainty of what clinical scenario you would be asked on, which ethical dilemma they will test you on, the preparation of my own personal portfolio; all of them made me really stressed! The whole interview process itself was equally stressful. And I mean you could be an absolutely great person on a daily basis, but when put under the spotlight, you just change completely.
So I am getting out of my comfort zone, and heading towards the Northern Deanery, which includes areas like Newcastle, Durham, Carlisle, Cumbria, etc. My job commences in August...so this will give me some time to find a new place to stay and move my things down. This time I would like to rent a place and stay alone. It would be easier for mummy and daddy when they come up to visit me.
I am so looking forward to this change...just because, I have been in Scotland for 5 yrs dy. And I am looking for a new environment. Also, this allows me to move out from my housemate.... Don't get me wrong, I love my room, and my flat, and the West of Glasgow is just so convenient. I do get along with her. But, she occasionally takes me for granted....and that is really doing my head in. Will write a whole blog about it later. haha.
Well, I was beaming and so excited yesterday that I decided to just go down to town to maybe buy something nice as a treat. But all the shops were closing in 30 minutes by the time I got there. Also, I told myself that I would get myself an iPhone if I get a job....and and and....my notebook is so cranky that I also wanna get a new MacBook!!! I have wanted to get a new notebook for a llooonngg time...probably about nearly 2 years now. My notebook keeps hanging despite me trying to reformat it. So its time to get a new one!!! woohoo!!!
Think for today I might either go watch a movie or something la. See how. Go visit the gym first.
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=) =) =)
Yes, I'm finally hired!! I have managed to secure a job!! Yay!! I am so SO SO happy, and feel so glad. Yay for me!! hehe. Actually, the offer email was sitting in my inbox on Friday, but I only checked my inbox on Saturday evening!
After 3 painstaking and emotionally wrecking interviews, I finally get into the medical training system! The anxiety before the interview could literally give me a heart attack. The uncertainty of what clinical scenario you would be asked on, which ethical dilemma they will test you on, the preparation of my own personal portfolio; all of them made me really stressed! The whole interview process itself was equally stressful. And I mean you could be an absolutely great person on a daily basis, but when put under the spotlight, you just change completely.
So I am getting out of my comfort zone, and heading towards the Northern Deanery, which includes areas like Newcastle, Durham, Carlisle, Cumbria, etc. My job commences in August...so this will give me some time to find a new place to stay and move my things down. This time I would like to rent a place and stay alone. It would be easier for mummy and daddy when they come up to visit me.
I am so looking forward to this change...just because, I have been in Scotland for 5 yrs dy. And I am looking for a new environment. Also, this allows me to move out from my housemate.... Don't get me wrong, I love my room, and my flat, and the West of Glasgow is just so convenient. I do get along with her. But, she occasionally takes me for granted....and that is really doing my head in. Will write a whole blog about it later. haha.
Well, I was beaming and so excited yesterday that I decided to just go down to town to maybe buy something nice as a treat. But all the shops were closing in 30 minutes by the time I got there. Also, I told myself that I would get myself an iPhone if I get a job....and and and....my notebook is so cranky that I also wanna get a new MacBook!!! I have wanted to get a new notebook for a llooonngg time...probably about nearly 2 years now. My notebook keeps hanging despite me trying to reformat it. So its time to get a new one!!! woohoo!!!
Think for today I might either go watch a movie or something la. See how. Go visit the gym first.
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Saturday, March 07, 2009
"Lovely" Neighbours I Have....Not!
It was a long day at work. I came back from my night shift and felt really sleepy, having not slept alot the day before.
However, I only managed a good 1 hour worth of sleep! I decided not to try to sleep anymore and kind of potter around the house watching the telly and drinking tea.
I was in my room, when the doorbell rang. My housemate, Helen, opened the door. I thought it was her friend. However, later she shouted, " Ling, the police is here for you!"
I was like, "HUH!"
The first few thoughts that rushed through my mind were, "Did I kill somebody?? Did someone decided to sue me and the police is here to get a statement from me? Was someone I know in trouble and needs my help? Did I even do anything wrong???"
I quickly rushed to the living room, and there, stood a policeman, and his partner, a policewoman. They looked at me and the policeman asked, "Hi. Are you the owner of the baby blue Peugeot 206 with the plate S**B** that is parked outside?" I said, "Yes." Then, I was thinking....oh no, I must have been caught speeding!
Then he said,"Your neighbour reported you. They said you have not changed your tax disc."
I replied,"OOOHhh.... (scurried back to my room to get my new tax disc for the year)....here it is. I actually renewed it last week, but it must be that I have been so busy at work, and disorientated to the time, that I forgot to change it. I'm really sorry."
He studied it and said,"Oh rite. That's fine. But please remember to put it up, otherwise, I'll have to fine you at least 60 quid!"
"Sure, no problem. I'll definitely put it up today."
And they left the house.
I don't know how to describe my feelings then...it was mixed feelings. I was glad that it was just a simple expired tax disc, and not something outrageously horrible! Also, I was a bit shocked that my "lovely" neighbours would report my car!! To be honest, I do not even know any of them. Not spoken to any neighbours. And everyone living on this road just parks their cars along the street...they don't own a particular car parking lot. So it was not like they could be angry that I "stole" their parking lot.
That night, before I left to start my night shift, I made sure I changed my tax disc.....still feeling really "funny" that my neighbours have so much time to look at tax discs and report to the police if they found one that is expired.
I mean I have spoken to the police before....but those were at hospital level, you know, giving statements about patients, getting their help to restrain violent patients, etc....but man, NEVER had I imagine that the police would come to my house to check on my tax disc!
*phew
ps. tax disc = road tax
However, I only managed a good 1 hour worth of sleep! I decided not to try to sleep anymore and kind of potter around the house watching the telly and drinking tea.
I was in my room, when the doorbell rang. My housemate, Helen, opened the door. I thought it was her friend. However, later she shouted, " Ling, the police is here for you!"
I was like, "HUH!"
The first few thoughts that rushed through my mind were, "Did I kill somebody?? Did someone decided to sue me and the police is here to get a statement from me? Was someone I know in trouble and needs my help? Did I even do anything wrong???"
I quickly rushed to the living room, and there, stood a policeman, and his partner, a policewoman. They looked at me and the policeman asked, "Hi. Are you the owner of the baby blue Peugeot 206 with the plate S**B** that is parked outside?" I said, "Yes." Then, I was thinking....oh no, I must have been caught speeding!
Then he said,"Your neighbour reported you. They said you have not changed your tax disc."
I replied,"OOOHhh.... (scurried back to my room to get my new tax disc for the year)....here it is. I actually renewed it last week, but it must be that I have been so busy at work, and disorientated to the time, that I forgot to change it. I'm really sorry."
He studied it and said,"Oh rite. That's fine. But please remember to put it up, otherwise, I'll have to fine you at least 60 quid!"
"Sure, no problem. I'll definitely put it up today."
And they left the house.
I don't know how to describe my feelings then...it was mixed feelings. I was glad that it was just a simple expired tax disc, and not something outrageously horrible! Also, I was a bit shocked that my "lovely" neighbours would report my car!! To be honest, I do not even know any of them. Not spoken to any neighbours. And everyone living on this road just parks their cars along the street...they don't own a particular car parking lot. So it was not like they could be angry that I "stole" their parking lot.
That night, before I left to start my night shift, I made sure I changed my tax disc.....still feeling really "funny" that my neighbours have so much time to look at tax discs and report to the police if they found one that is expired.
I mean I have spoken to the police before....but those were at hospital level, you know, giving statements about patients, getting their help to restrain violent patients, etc....but man, NEVER had I imagine that the police would come to my house to check on my tax disc!
*phew
ps. tax disc = road tax
Wednesday, March 04, 2009
Overwhelmed!
I feel so overwhelmed from work! I wonder, sometimes, whether I am cut out for this job. You know, it's been 2 and a half years that I've been doing this, but, I still get ovewhelmed, especially when I am doing night shifts.
We do 7 nights in a row. My first night has been the worse of all, so far. It was such a busy night. There were at least 3 sickies at that time, 2 of which died on me. I really hate the feeling when patients die within a few hours of hospital admission. It just gives me this feeling that I have not done anything to save the patient. It feels as though I must had missed something, or was not doing enough to prolong his/her life.
One of them was an elderly lady, while the other lady was in her 50s! She just went became unconcious. We managed to get her back after about 3 cycles of CPR. That gave me some time to discuss the case over with the consultant, and we felt that, she would not be a candidate for ITU, so therefore, we had to just let her go.
I still get goose bumps just thinking about what happened. It was horrible. She was vomited bloody fluid during CPR, her colour was blue, her eyes were rolling, she was cheyne-stoking! gosh...I really hate my job now.
Anyway, she is in a more comfortable place now. Just feel sorry for her family.......and I just could not stop thinking whether I have missed something.
The rest of the nights were better....however, again, last night, it was absolutely rubbish. There were quite a number of admissions. A patient was extremely unwell in HDU, and I kept getting pulled up, down, left and right, by fellow nurses, and my team of hospital at night specialist nurses.
Sometimes, I wonder whether I was being slow in reviewing my patients....I mean, I really did try to be quicker...but I really hate missing things. Because it was such a busy night, I had to leave the work I was doing, to complete another. So everything felt like it was all over the place.
The nurse was like, "Have you seen Mr. Y yet?? He came in earlier than Mr. X....and you went to see Mr. X first." I replied, "Well, it's because Mr. X is sicker than Mr. Y, so he get the priority." And I was thinking to myself, helllo?! This is not a queue in the supermarket....the sicker the patient, the earlier he gets seen, regardless of who comes in first! And you claim that you are a senior staff nurse?! She then replied, "Well, its just because I need to write up my bit...and I'm going home soon." I then said, "Look, there's only one of me here. I have alot of other things to deal with at the same time. So I will see him as soon as I get a chance."
I really do not like to bitch about nurses....but, sometimes I can't help it! So my apologies first to anyone who gets offended by this.
I think it was Tuesday today, but it was actually Wednesday......which means, I have only 2 more nights to go. I get so disorientated with time and days on these shifts, that it is not even funny.
The consultant who is on-call with me, is actually my immediate educational supervisor. And whether it is because he intimidates me or I am trying to prove myself to him, I do not how to describe this little ache in my heart......I left work this morning with a horrible feeling that I have missed something. I found it difficult to sleep...only managed 2 hours today. I pray deep down that no disaster was detected and everything I did was okie. Sigh, I should try to de-complicate my life.
We do 7 nights in a row. My first night has been the worse of all, so far. It was such a busy night. There were at least 3 sickies at that time, 2 of which died on me. I really hate the feeling when patients die within a few hours of hospital admission. It just gives me this feeling that I have not done anything to save the patient. It feels as though I must had missed something, or was not doing enough to prolong his/her life.
One of them was an elderly lady, while the other lady was in her 50s! She just went became unconcious. We managed to get her back after about 3 cycles of CPR. That gave me some time to discuss the case over with the consultant, and we felt that, she would not be a candidate for ITU, so therefore, we had to just let her go.
I still get goose bumps just thinking about what happened. It was horrible. She was vomited bloody fluid during CPR, her colour was blue, her eyes were rolling, she was cheyne-stoking! gosh...I really hate my job now.
Anyway, she is in a more comfortable place now. Just feel sorry for her family.......and I just could not stop thinking whether I have missed something.
The rest of the nights were better....however, again, last night, it was absolutely rubbish. There were quite a number of admissions. A patient was extremely unwell in HDU, and I kept getting pulled up, down, left and right, by fellow nurses, and my team of hospital at night specialist nurses.
Sometimes, I wonder whether I was being slow in reviewing my patients....I mean, I really did try to be quicker...but I really hate missing things. Because it was such a busy night, I had to leave the work I was doing, to complete another. So everything felt like it was all over the place.
The nurse was like, "Have you seen Mr. Y yet?? He came in earlier than Mr. X....and you went to see Mr. X first." I replied, "Well, it's because Mr. X is sicker than Mr. Y, so he get the priority." And I was thinking to myself, helllo?! This is not a queue in the supermarket....the sicker the patient, the earlier he gets seen, regardless of who comes in first! And you claim that you are a senior staff nurse?! She then replied, "Well, its just because I need to write up my bit...and I'm going home soon." I then said, "Look, there's only one of me here. I have alot of other things to deal with at the same time. So I will see him as soon as I get a chance."
I really do not like to bitch about nurses....but, sometimes I can't help it! So my apologies first to anyone who gets offended by this.
I think it was Tuesday today, but it was actually Wednesday......which means, I have only 2 more nights to go. I get so disorientated with time and days on these shifts, that it is not even funny.
The consultant who is on-call with me, is actually my immediate educational supervisor. And whether it is because he intimidates me or I am trying to prove myself to him, I do not how to describe this little ache in my heart......I left work this morning with a horrible feeling that I have missed something. I found it difficult to sleep...only managed 2 hours today. I pray deep down that no disaster was detected and everything I did was okie. Sigh, I should try to de-complicate my life.
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