Friday, October 3, 2008

aint my field but I ....

I was doing my weekly goevt clinic specialist clinic at the town of lion....well, it was about 11:30am and I was about to wrap up my ppt file for my presentation(for the end of the month...)


the counter nurse recieved a call from one of the pt and I overheard the conversation. The patient was asking if ultrasound if available and the nurse said yes and told the patient the O+G specialist clinic would only commenced at 2pm...The conversation ended and later the another call came(appearantly from the same patient) and asked if ultrasound could be do stat ... The patient was worried about the child and asked if an ultrasound is available to clarify her anxiety.
The nurse came to me and asked me if I could perform O+G ultrasound .. I said yes and told her to let the patient come.


the 3 nurses in the clinic gave me a strange look - it was an internal medicine clinic and I am a physician. The nurse was surprised when I said yes....


Well, the patient came 10 mins later and I did a quick history check... G1P0 @ 26 wks, poor movement noted since last night. Well - 26 wks, nothing much could be done - if it is gone, it is gone....


The machine was in good shape - newly purchased..But the jelly was so watery... I managed to digged some "thicker" jelly from the old jelly bottle... The baby was fine . I located the heart beat and shown it to the mother... Reassured her and asked her to observed...


I walked out with a smile on my face, those nurses must be wandering where on the earth I learnt the ultrasound..... O+G is out of bound for many physician or surgeon - they would referred the patient to O+G clinic even for URI.. some of them don't event dare to prescribed medicine for pregnant mother. Our purchasing officer was pricked months ago and she had been asking around in the hospital for few days( it was weekend) if she needed a tetanus jab as she is preparing for pregnancy. I told her to go ahead for the immunization... thanz for the MOH service and training....


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