I normally don't like to blog about work per se, but I just can't help bitching tonight. Maybe it's the check-up tomorrow getting to me. Had a talk with one of my registrars over dinner today, he reckons my Wenckebach must surely count for something. We'll see.
In any case, I doubled our ICU's occupancy tonight. And there's an arterial sheath to be removed at 1130pm (or, God forbid, 230am ...). And a massive pulmonary embolism came in just now. Although I've intubated quite a few patients (not something to be happy about), this is my first real rapid sequence intubation - intubating an awake patient. The last RSI was one that I assisted with giving the suxamethonium, in NUH, with a very very nice Reg. It went quite alright, although he is a huge man, and initially I got a little worried since his saturation wasn't picking up after intubation - then I realise that he's probably having quite a large ventilation-perfusion mismatch due to the PE. Oh well. Thrombolysed him and he collapsed 3 times in front of me, twice with PEA and one Torsades. Welcome to cardiology.
GREAT. As I'm typing this, I hear the nurses saying, "Is he waking up? Yes, I think he's waking up." Not good. I shall sedate him again.
ARGHHH!!! I mixed up my call dates - thought I was on call tomorrow, until someone came into the ward shrieking how depressed she is cos she's on call tomorrow; and then, to my utmost horror, I discovered that I'm actually on call today instead!
So I'm back home now taking a load of stuff for my call, and I'm forcibly reminded of my days in NUH, where I actually spent the day at home, going for calls only at 8pm at night. Feel like just staying home, lol. It doesn't help that I'm going for my check-up tomorrow at noon, which makes the whole thing even worse - I can't even look forward to post-call bliss. Nevermind. What's got to be done, got to be done.
Dawn, if you're reading this, and in case I haven't said it before, I am utterly jealous of the freedom you get! =)
Oh dear, and I feel so bad that I messed up Yx's plans for today! She's left her stuff at my place, but if she comes over, there's no transport back. We'll do it tomorrow ok? And I so wanted to stay home tonight too, to edit Eugene's wedding photos. Oh well. Just get it done and over with.
Phew, what a weekend! We finally met Dawn & Rita over lunch at Brotzeit today, after a few cancellations. Also managed to pass their invites to them, and to my horror, I actually misspelled Sean's name! Haha ... I miss those days. And as I was saying to Dawn, this time I'm really reading Her World for real. And no, it's not about looking at granny panties (I almost forgot about this one!)
We watched Slumdog Millionaire after - it was a good show, captivating for most of the run time. Refreshing concept. And it helps that the female lead's pretty hot too.
Spent the night snapping away during Eugene & Shiyun's wedding ... pics to come later. Way too tired tonight to do any editing etc.
If I need to put on a smile all the time, if I need to be thrilled despite being denied who I want to be, if I need to trudge past my wounds in mirth, that I can do.
No pun intended, honest! Anyway, I've decided to go public on the little diary I've been keeping - just so that friends (ah hem .. the ulu dentist in Australia) can keep up with what's going on. Here it is (drumroll?) ...
