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Friday, April 06, 2007

How was attachment, you may ask?

Hmm.... The whole of last week was spent on orientation and information loading. And this week, first 2 days were spent buddying with the preceptor and I've only started to take a simple case today. Wow, so much time wasted (for the lack of a better word). I feel as if i'm trailing far behind, as compared to those attached to the wards.


So much for requesting to be posted in a specialised unit.


I'm beginning to doubt my ability. Or maybe I'm just not prepared (enough)? A simple case of PCI and I couldn't understand the whole case in depth. Add a little bit of complication and im out of sorts already.


Stress level is building



And i've never been good in arithmetic. Drug calculation can be quite an uphill task. To make it worse, the preceptor just went on babbling like, oh you take 18 mg, something, something then, final 30mls of normal saline. So, its 1ml = 10mg. Yeah right, as if i get you. I didn't dare to probe further because that preceptor, oh well, she has her mood swings. Got to clarify again soon.


Dopamine, Dobutrex, Nor-adrenaline, mcg/kg/min, alarms, pvc, sinus tachy, asystole


I had a collapse case yesterday. It was a first for me, to observe an active resuscitation. The atmosphere is different from that in the EMD. To see the heart rate drop from the hundreds to the tens. To see how the MO and NOs tried to access all the possible lines from every part of the body. To see the ECG showing rythms (PEA) but no pulse can be felt. To see the nurse jump on the bed and start her chest compressions. To participate in dilution of adrenaline. To see the whole team coordinating their efforts to ensure smooth progress of the resuscitation.

It was an eye-opener. I missed the opportunity to perform the chest compression because I hesitated. Overwhelmed by fear and lack of confidence. A pity, I know. Oh well.........


The patient passed away after almost an hour (i think) of resuscitation. Inallilah.



Being in this specialised unit allowed to me see the fragility of life. You could be talking/eating one moment but they next, you could be lying flat on the bed, life hanging by the thread.

I need to be more vigilant. I need to learn to prioritize. I need to pass my PRCP.

10:03 PM