Post call today... my brain could barely work properly. But Murphy Law always holds true in my department; when the rain was in the midst of flooding Johor, the workload was almost toppling all the MOs in my department today! To compound that further, one of our MOs had a bad accident yesterday while going home (raining day, slippery road, eyes ptosis), and so gotta take emergency leave to settle the police and insurance thingy (luckily he escaped unhurt, that's more relief!) And another MO down with very bad flu, but few days away from her wedding day (hence, the importance to be resting at home and minimize work stress! Need to be well prepared for the BIG day... so she takes emergency-cum-sick leave)...
And when you think it should be ok to have just adequate MOs to cover each ward, more premature babies will come out; with 4 in one morning, 3 of them intubated at birth for RDS. Then, there have to be another 2 duodenal atresia with one of them Down syndrome and severe polycythemia! Hell... one MO to do the venesection, while another one arranging for the Paed Surgeon to fly in for the op. Then another 2 severe pneumonia patients just have to arrive at the same time at A&E, and so another MO although not on call, gotta rush to intubate them at A&E.
You think that's all? Well, not quite... just at lunch time, another baby sent in from postnatal ward for exchange transfusion... but heck, no fresh whole blood! (rather common happening in this place) and so gotta reside to using packed cell and FFP.
Lunch at 4pm. Most of us nearly pengsan... including the specialists, even clerking the cases which continuously pouring in! Luckily I am happy to have such a non-calculative team, and the on call doctor is the luckiest today to have so many helpers to ease off her workload.
She promised each of us a kari-pap tomorrow! :) Shall see...
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