no envy no fear

khamis malam jumaat kelmarin was my forth time jaga. huhuhu... penat sangat kot.
i got 6 patients. ok for the first time, i want to story-mory-morning-glory to you guys who read my blog (of courselah kan) my jaga experience. hahaha...

ok my first patient is miss N 17 years old. came with acute abdomen pain. suspect peritonitis due to appendicitis (famously known as penyakit usus buntu among indonesian). for this first patient, i got some time to do anamnesis to her and her grandma. tanyalah sikit riwayat sakit dia ni. and luckily for me. they were so nice. even she was sick at that time. by the way, for those who likes to eat spicy food. berhati-hati... banyak sangat kasus appendicitis yang saya jumpa everytime jaga. even i myself yang sangat gila makan pedas pun jadi takut. saya dah kurang makan pedas dah sekarang. huhuhu...

heee...

and for the second patient, ibu EE, 47 years old.
this ibu also was so nice. husband dia sangat lovely kot. you can see it by the way they look at each other and how he take care of her. aaaa bestnya....
by the way, this ibu was referred from other hospital called rumah sakit ujung berung. her chief complain was dyspnea (shortness of breath=sesak nafas). and the resident doctor did some aspiration and there you go... a full 10cc fluid in the syringe. confirming the presence of fluid in her lung cavity. that's why she can hardly breath.
poor ibu. but, the cause is still blur. sebab the medical record from the other hospital seems incomplete. entahlah. but the differential diagnosis is pleural mass. mungkinkah tumor.. i dont know.
i took some blood from this ibu, at first it was a failed attempt. huhuhu... jadi kurang pede dech... and suddenly when i looked back at the syringe it was full. magic? =p
the doctors plan to do chest tube tracheostomy (CTT) but because i had to handle the third patient i missed the procedure. i missed the chance to touch the pleura with my finger. damn you third patient.... hahaha... no lah... joking. ada banyak lagi chance in the future...
sabar-sabar. =)


ok for the third patiet. this young man (younger than me, but look older) mr Y. have abses scrotal dextra. yes. the scrotum terbuka people. scrotum is the bulging part of man's genital area. alah yang ada testis tu, bawah penis. orang kata telor lelaki.
haah, terbuka and you can see the testis tergantung tanpa penutup. doctor said "ini sudah avital" (maksudnya dah tak boleh pakai. matilah senang cerita)
kesian kot. and bau dia busuk sangat kot. tapi muka harus maintain seperti tiada apa. baru macho. hahaha... inipun cause dia macam blurry. tiba-tiba tengah bertani, sakit and pecah. lebih kurang macam tu lah cerita dia. tapi this man, macam sombong sikit. i failed to do the infus. ada seorang kakak senior ni observed my action. and when i failed she tried to do it as well. tapi dia pun tak dapat. this man is too thin, so the vein is hard to detect. untuk seorang yang kurang berpengalaman seperti saya memanglah susah... hahaaha... i should practice lagi gigih. yes i will... so what we did lastly was ask the nurse to do the infus. they were so pro. tabik springlah teh-teh (panggilan kakak untuk orang sunda).
this patient tak susah handle. sebab procedure for him sikit je. sebab dia harus ke OK (kamar operasi) mereka tidak mahu panggil KO (hahaha, can you imagine, dah lah orang sakit, nak suruh pergi KO, psycho!!!)

lebih kurang macam ni lah,
tapi patient tu punya lebih besar dan lagi teruk sebab dah gangrene (dah hitam)
and boleh nampak testis.

so i proceed to the 4th patient. Ny. N, 31 years old.
when my chief co assign me to handle this patient, i looked at the bed. "eh, mana patientnya?" bed dia kosong choyy.... dah scary dah, huhuhu... rupa-rupanya patient dia duduk dekat tepi katil, get ready to climb the bed. baru lepas pergi toilet untuk kencing (kena ambil air kencing dia untuk dianalisa). this patient pun baik. she had hidronephrosis (a term when your kidney filled with waste -air kencing- that cant be secreted out because of presence of obstruction) so what we did is making an opening at her back so that the fluid can be secreted out. the procedure is called nephrostomy. heee... i helped assist this nephrostomy. cool weh... cool.

seterusnya, seorang lelaki 22 tahun masuk dengan penurunan kesadaran karena ditabrak. accidentlah pokoknya. dia ni untung. semua kawan-kawan dia concern kat dia. dioranglah yang tolong tolak lelaki ni pergi bilik xray. senang sikit kerja kitaorang. hahaha.. tapi dia ni tak teruk sangat cuma luka dekat dagu. deep. hehehe... and i, got the chance to stitch him... actually this is my second time =p and during stitching i cant remember what the doctor did, his blood splashed to my face. to my face dude. hahaha. ingat nak ambil gambar. tapi bila tengok cermin alahai sikit je.. tak horror pun =p

and the last patient is a young girl, 17 years old. accident jugak. tapi cerita dia ni sadis sikit. my chief-co said she came together with a man. but she entered emergency and the man entered forensic. mmm... kasihan. and the doctor have to cut her hair jugak. her long hair. sebab penuh dengan blood.

overall, it was a busy, busy night. buka puasa pun pukul 10 malam. serious tak perasan time berlalu sebab too busy.

another jaga --> ahad malam (monday morning jadi zombielah nampaknya)



by the way, this is my 200th post people!!! hehehe (^_~)v

p/s: all pictures from google image =)