I had a change of shift yesterday…well, change of shift is definitely not a good sign. Usually the shift would be a bad one. But sometimes you just cant help it… Lem had gone for a course of Disaster management. So Instead of the 2pm-11am 22 hrs shift, I took over a 8am-8am shift. The ED staff combo was excellent one – head nurse plus assistant head nurse and a senior nurse, perfectly capable team. 3 MVA victims present at the opening and since then I did not go into the office. One of the MVA victims had a Galleazzi’s fracture and he did not want any further surgical treatment. Since our new orthopedic surgeon would be start working on 1st of June. I had to do something. Just cant bare to put a splint and sent him out. I decided to do some – CMR (closed manual reduction). It was more than 5 yrs that I had done any. I sedate the patient with dormicum and pethidine and manual reduced the fracture and dislocation. A almost perfect one. While I was amazing with my skill – the patient had changed his mind and decided to admit and have plate implant later in the evening. A waste of effort. By noon, a female patient from nursing home came, underlying cervical cancer with massive vaginal bleeding. Holy spirit – when I read the referred letter from the nursing home, I had a transient vertigo.
There were no spotting on the diapers and I decided to a per-vaginal examination. I showed a bitter grin when the head nurse passed me the speculum – rusty crust over the blade. Can’t blame everything – it had been more than 8 yrs since our O+G specialist left. The last time the speculum was used was 1+ yrs ago ( yeap- you were right : me of coz…). The vaginal was filled with irregular tumor growth but no active bleeding was noted. I admitted the patient under my service later.
Well, for I sudden , I realized that the 4 yrs service with the MOH was not a waste. The other ED staff did show a unbelievable expression when I did those procedure….But that was not what I am chasing for – I finally achieved what I dream for when I first enter med school.
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