Archive

Archive for the ‘Medicine’ Category

縫針

June 17, 2017 Leave a comment

一位教師媽媽帶著跌破頭的兒子來到急診室。

她明顯覺得 distressed, 她這個7歲的兒子整天愛亂跑亂爬,上個月才來把後腦勺上受的傷縫好,才剛復原,今天就因為騎scooter 騎太快而跌傷額頭。她自己在那裡鬱卒惋嘆說,不知道其他老師會怎麼看她,怎麼一個老師沒好好照顧自己的孩子。

其實額頭的傷口很小,需要縫合純粹因為傷口有gaping,但最多需要兩針就能縫好。為了安撫媽媽,我說:“其實這個年齡的小孩子好動很正常,沒什麼大問題的,而且傷口也很小,別太擔心”

媽媽還是在那裡哀哀叫,我只好調侃自己來安慰她說:“你看我額頭上的傷疤,5歲的時候一頭栽進大水溝,額頭這塊到現在還長不出頭髮,我媽還擔心我沒法正常長大,現在不還是長得好好的?”

結果這位沒禮貌的媽媽竟然哈哈大笑,而且是以一種 “怎麼會這麼笨”的笑法來笑。我心裡默默翻了一圈白眼。

到了縫合傷口的時候,小男孩的傷口上已經上了麻醉藥膏,不會覺得痛。但原本天使般笑臉的他一躺上procedure bed 就立馬變成了惡魔,咆哮般的尖叫簡直快把整棟大樓震倒,而且是 持。續。不。斷。 的尖叫。可憐的兩位護士得狠下心壓制瘋狂掙扎的他。當下真的有讓我想死一死的感覺。

好不容易把兩針縫完,他一下床馬上恢復 天使般的笑容 (翻白眼)。我覺得那床一定被下過蠱。當然還是得面帶微笑對著滿臉歉意的媽媽把該注意的事項交代清楚 (她應該有聽到那聲嘶力竭的叫聲)。然後在臨走前我對我老闆說 — 這是我有史以來縫得最痛苦最久的兩針。

Categories: life, Medicine, Rants, work

急診室裡的家長

June 13, 2017 Leave a comment

在兒童急診部門工作越久,看到形形色色的家長也越多。其中不乏許多讓我匪夷所思的奇葩家長。。。

1. 置之不理型 – 最誇張的看到孩子是由女傭帶來的,然後連女傭都是一副愛理不理的樣子,拎著一條絲巾遮住鼻子嘴巴,好像周圍的人都有天花。可憐的孩子病得嗓子啞了還得自己告訴我發生了什麼事。

2. 緊緊張張但又什麼都不知道型 – 一進問診室就大呼小叫,好像孩子要死了醬。結果一問起病史,發燒了幾天?最高溫幾度?有沒有咳嗽傷風嘔吐腹瀉?口服攝取量有多少?一問十不知。。。(翻白眼)

3. 什麼都問女傭型 – 有的更厲害,一開始問病史,媽媽就轉頭問向女傭,“發燒幾度啊?” “有沒有嘔吐啊?” “孩子喝了多少啊?” 結果到最後我直接和女傭對話,女傭一瞬間變身成了媽媽。(媽媽在一旁無地自容)

4. 心中早有如意算盤型 – 一進問診室,“哈咯媽媽你好,請問小孩發燒幾天了啊?”  “我們要住院!” 。。。 = —— =

5. 什麼都任由孩子去型 – “孩子不怎麼吃/喝叻,我不懂該怎麼辦。” *攤手*  所以呢?生了孩子不要顧,你想要醫院裡的醫生護士幫你照顧好了康復的孩子再丟回給你玩嗎?妳什麼都不試 什麼都不做就想坐享其成 讓孩子自己長大嗎?

既然是急診室,當然就得知道看病次序不是照著號碼排的,而是依照病情緊急程度來看。倘若有更病危的小孩被送進來,肯定是讓他們優先。不過很多家長縱使知道這個道理,還是常常忍不住在等待的時候來對護士醫生言語霸凌。

“我孩子病得很重耶!你們怎麼可以讓他等那麼久?” – 很多時候口出狂言的這些人,等候時間都沒有很久,而且小孩的病情也不嚴重,但他們就是不願意等。既然不願意等,為什麼不早點帶小孩去社區家庭醫生或診所看病?很多小情況真的真的都不需要來急診室的。什麼是急診室?就是讓緊急病危的孩子來的!你這樣不僅是在濫用資源,你的孩子得等上很長的時間,甚至有可能妨礙到其他更需要緊急關注的孩子的時間。

這六個月在兒童急診部的最大感想– 如果沒準備好受照顧小孩的苦,別生。

Categories: crap, Medicine, Rants, work

Team mate

March 5, 2015 Leave a comment

人说:不怕神一样的对手,就怕猪一样的队友。

如果给你选,你会宁愿选猪一样的队友,还是贱队友?

我两者都碰过了。

前者其实还好,虽然会拖累你迟下班,但她至少尽心尽力,和你同进退,做list也一起做完才回家。

贱队友呢?只会带着一张嘴在cons Reg 前面装着自己做了一大堆,但在人后,连最基本的trace changes都做不好,还要我帮他cover 屁眼。TMD! 然后list也不作就跑回家了!

深呼吸!

Categories: crap, Medicine, Rants

Midyear recollection

March 4, 2015 Leave a comment

Not literally mid-year now, but I have officially completed half of my housemanship job/training. 6 month down the line, if everything goes on smoothly, I will turn MO in Sept 2015.

To me, it is more of mind-blowing rather than exciting. It feels like I have not growing much since I started surgical posting. Not only it seems that I remained stagnant, I do think I am deteriorating in terms of medical knowledge and critical thinking when it comes to managing patient on my own.

No doubt I am still working everyday and pick up skills to survive HO-ship fine. But I found myself complaining and whining too much about work and life. I have stopped exercising, stopped blogging, stopped doing things I used to enjoy such as cooking and photographing.

To be honest, yes, life as a surgical HO is tough and lifeless. It takes away part of me, the part of me who is eager for knowledge and new information, the part of me who is hungry for improvement.

Reading this post about life as an A&E senior registrar, picture-like memory flashed back and reminded me the days during my 5th year A&E posting, and how enjoyable working and learning under Dr Khodabucos. He must be so disappointed if he found out my current state. Be it Paeds or A&E, this shouldn’t be what I am doing.

Time for some changes. No matter how much I hated GS, I should push myself through and learn something everyday. Take a thing at a time and live a day at a time. (quote valerie)

Hope it really happens this time and doesn’t die off so quickly.

Kiasu 2.0

March 13, 2014 Leave a comment

So we had this mock OSCE session which is going to be organised by a bunch of enthusiastic junior doctors coming up. In order to sign up and get a place in it, we need to send in an email stating our time-slot preference no  earlier than 1900 yesterday.

Being one of the kiasu medical students *cough* I mean keen (as keen as the rest of my batchmates), we all have different strategies.

We were having this revision lecture for anatomy and surgery from 1830-2000. Ideally what should be done was to click the “send” button at 1900 sharp. But we were in the middle of the lecture, how to achieve that?

1) Anna sat near to the entrance (first row), not an ideal seat for a lecture but it’s closer to the entrance where the cellphone internet signal 3G is guaranteed stronger. (Thank to her who reminded me)

2) We all (included me) typed out a draft of the email and kept it, waiting for the time to strike 1900.

3) Reminder alarms were set (we could hear it throughout the lecture, basically lotsa inteferrence today).

4) Quite a few of them even ran out of the lecture theatre halfway through it to send the email (cos of bad signal) which was pretty rude?!

But anyway, hopefully we all will get a place for it. At least we tried, and strived for a place to stay. LOL

Dog-eat-dog. rawrs

Categories: crap, Medicine

急诊室

February 26, 2014 1 comment

似乎是找到了内心的挚爱。

真的适合急诊吗?虽然之前就有说过喜欢,但总会考虑很多因素。适不适合作为一辈子的事业?能不能有正常的生活作息?我考虑很多。但不知道为什么最近想了很多,也许是周围认识的人所发生的事,也许是看到急诊室内进进出出的感叹无奈,觉得自己应该要选择自己所爱。不管它难不难,最重要自己得喜欢。

这是第一次那么享受工作,I love my job. 虽然轮了很多晚班夜班,每天都是累得半死的回家,但心中没有怨言。有的只是满足。

昨天有位病人的女儿,因为我在她们离开前没有见到他们,她特意要我的主治医生对我转达她们对我的感谢,还有觉得我很出色。心理莫名的感动。我只是作好我的本分,尽我所能想查出病因,所以问得仔细,同时也向他们解释我为什么问这些问题,并把我的想法和他们沟通讨论,用很浅白的方式向他们解释病症的起因等等。

其实很多时候病人们要得很简单。在她们最无助的时候,如果我们很基本的几句话,做到我们该做的,由同时能温暖他们,并在我的心里掀起一波涟漪,何乐而不为?

*****

还有今天,把脱臼的肩膀接驳回去。另外还有第一次由病人在我面前癫痫发作,紧张之余学习让自己冷静下来,向熟练的护士们学习简单的紧急措施,又让自己成长了不少。

I am thriving much in EM.

****

满足的同时,又很希望能有双能听我分享每天的快乐悲伤不爽满足的耳朵,让那双耳朵也能听听我的故事。。。

Categories: crap, Medicine, Random Thoughts, UK
%d bloggers like this: