nightmare nurses

here's some of my encounters with some biatch nurses. don't get me wrong but i don't have anything against nurses in general.

encounter #1 (at fabella, OB rotation)
me: "Ma'am, pa paracetamol po sa bed 5. 40C na temp nya."
dumb and lazy nurse: "wala pong order sa chart, doktora" (emphasizing the doktora like i wasn't really one)
me: "Sinabi ko na po sa resident sabi nya pabigyan ko daw sa nurse. e di naman pa po kami pwede magsulat sa chart. di nyo ba pwede bigyan na ngayon? baka po magseizure sya sa taas ng lagnat nya."
dumb and lazy nurse: "hindi. walang order sa chart."

grrr.... stupid stupid stupid. there should be malpractice laws for nurses.


encounter #2
me: "Ma'am, andyan po ba ang chart ni 5061 C?"
blank affect nurse: ...(stares blankly at me)
me: "ehem.. Ma'am, chart po ni 5061 C?" (slightly louder this time)
blank affect nurse: ...(blinks and still stares at me)
me: "Ma'am, naririnig mo ba ako?"
blank affect nurse: "oo, doktora! nageendorse pa kami kaya ayoko ibigay yung chart sayo!"

bwisit bwisit bwisit! why didn't she tell me in the first place!


encounter #3
makulit nurse: "doktora, pa-extract naman kay bed 3."
me: "ha? yung 1 month old?? ang hirap naman extrakan nun eh. wala bang pedia resident? kawawa naman yung bata."
makulit nurse: "wala po, doktora eh. kayo na po, sige na. magaling naman kayo diba?" (nambola pa!)
me: *blushing* "nyek. o sya, asan na ba sya? subukan ko muna kung kaya ko. (nabola naman!)
makulit nurse: "salamat, dok!" hands me 2 tubes, one lavender and one red.
me: after almost an hour of extracting blood, sweat all over and bruises from the patients' kicks...
"o eto na po, ma'am, yung blood. hirap nun ha. naka 3 tusok ako sa kanya. wala ng magandang ugat."
makulit nurse: "ay, ganun ba doktora. ehehe, kasi may papahabol pa sana na isang blood exam."

HHwwhat?! i practically wanted to stab her with the used syringe.


encounter #4
fat ass nurse on the paging system at the on-call room: "doktora, nurse station po."
me: (wakes up in the middle of the night) "papunta na po."
(i enter the ward...)
me: "bakit po, ma'am?"
fat ass nurse: "doktora, paki bigay naman po itong paracetamol tablet sa pasyente."

pucha! amo?


luckily, there's no 5th encounter. maybe in the future =p

rounds at heart center

at pedia pulmonology at the philippine heart center, we usually have bedside endorsement rounds before dismissal with the founder of Philippine pulmonology, Dr. De Guia. usually, there are only 8-10 patients for endorsement and it only takes about an hour.

during our rounds in the MICU, there was this one patient whose relatives were waiting for Dr. De Guia. Her case was like any other disease often seen in old age: Atherosclerotic Heart Disease. She was advised Coronary Artery Bypass and Graft. The patient, who said she still wanted to live longer, agreed fully to the procedure. She was 70 years old and she wanted to be able to reach their grand family reunion on december.

However, post-op, she was given meds for maintenance. it included heparin, in which 5-10% of the population may have an adverse affect to the drug and cause Disseminated Intravascular Coagulopathy. unfortunately, she was included in the 5-10%. With DIC as the complication, she later had pneumonia which progressed to sepsis and aggravated her condition. currently, she is hypotensive and in end stage renal disease. the dilemma now facing the consultants is whether she should or should not undergo hemodialysis considering that the patient is hypotensive already, the procedure might further decrease her blood pressure. if hemodialysis is not done, the toxins which she can not excrete from her body through her urine because of kidney failure, will intoxicate her brain causing immediate deterioration.

As i was listening to the 3 consultants in charge of the patient talk to her relatives, i felt sympathy for them. their hospital bill had already amounted to 1.3M excluding professional fees. Even more depressing was that, they knew that there was only little hope for the patients' recovery. it was then that they decided to sign a "Do Not Resuscitate" consent form. And as i watched them cry and summon their strength to talk to the consultants, i felt sad. i looked at my seniors and they all had the same poker face expression. how sad is that?

i know that in my profession that there will be more cases like these(if ever i do take up IM). part of me wants to become emotionless in times like these but a part of me also can't control what i should be feeling. it's just so tough...

i should've become a bloody astronaut =p

some thoughts... so far

it's a new month and we're supposed to be in another new hospital: PCMC. however, as predicted, the director of the hospital is against the integration program and that includes us, the integrated interns. so right now, we have been cursed to become bums unless Gudoy(our supreme leader) has broken the spell and been sent to our respective sanctuaries... NKI and heart center. hopefully, not back to EAMC. the only good thing that has happened so far is that we had no class since oct 1!!!! yeah! integrated rules!! so i won't be blogging about anything medical yet... sorry ;)

on the lighter side...

i'm starting to like someone. it may sound 'baduy' but i have adopted myself a textmate. hehe. actually, it's my sorority sister's cousin. i just hope that something will happen this time and not actually something bad. especially after what r**** did. sad to say but i totally erased him from my life... and cellphone.

anyway... it's october fest and i'm waiting for my roommate to ask me if i want to go =) hopefully, she will ask sometime sooner... hehe.