Howdy everybodee?

Another week has passed. The weeks seem to pass faster now that tagging is over. Calls were ok so far. Keeping low and acting blur, but asking a lot of questions. I find that keeping a low profile works better for the houseman. A few times I noted some things and asked about it, the reply i got is: jangan buat/tanya yang pelik-pelik.

During tagging, I had a MVA pt with some upper limb fracture, and he complained of pain in excess of appearance despite sedation and I kind of asked the MO during the night round if compartment syndrome could be a possibility; and he gave me this "shut up and dont give me extra work" look and said "wah, if like this, i will be very busy everytime u r oncall". Deep inside, I was hoping that the next morning the limb would pulseless (I know this is evil and not fair for the patient) and teach him a lesson. However, the pain subsided the next day (good for the patient).

During my call at 3am this morning, I saw this patient who c/o haematemesis and while I was clerking him, I realised that he actually is having a new stroke. Then, in front of me, he aspirated vomitus and started gurgling and gasping. Quickly I set up mask, oximetry etc and called the MO. When he arrived, first thing he asked was did i do a PR. Of course i didn't, and he was displeased. I was thinking like, come on, I am more concerned about this pts ABC at this point but there he was asking about PR. Felt like PRing him there and then. The pt subsequently required intubation and ICU admission (which cost my night's sleep).

Ok, that's my rambling this time. One good thing is that I got my pay cheque for the half month too. Happy happy.

til next week.