GUTS......

 

I had attended this combined emergency network conference last week. Most of the time Lem would attend such meeting but since he is doing day shift he had asked me if I wanted to go. It was Thursday which I went off by 9am(by 8 to be exact, but I had to attend the weekly conference). The meeting was scheduled at 2 and end at 5. I could catch a few hour sleep but I had this class with the elder of the Church by 10, so the rest should be minimal.  Anyway, I took the offer when Lem asked me as he told me that the management would provide a 4 hours working pay. I am still 8 hrs short from the 180 hrs, so I took the offer. 4 hospitals were chosen to present a case each. I had prepared an AMI case which I had called up 5 hospitals before that patient was accepted.

The local rescue service also brought up a case which really stunt every one of us…

There was this 20+ young lady who is G1P0 currently bearing a twins. One of the twins had lost sign of life at 6 months. To salvage the other twins, the obstetrician had chosen to continue the pregnancy and let the still birth remained in the womb(it was a boy and a girl twins…)

At about 9+ months, the mother had visited a local hospital O&G clinic complaining of low abdominal pain. The obstetrician had seen her and discharged her. She returned to her house and found that the pain had become worsen and contraction was noted. A she was facing financial difficulty she had opted to call the local ambulance instead of going up north to a bigger hospital by herself even though the obstetrician had strongly recommended that if she gone into labour she should go to a bigger hospital for delivery.

The local rescue ambulance had responded to the call and she was sent to the local hospital which she had visited earlier that day. She was sent to the ED and the ED physician had called up the obstetrician for a consult. The obstetrician had told the ED physician that he had seen her earlier and nothing can be done by him as in his opinion, such case should be handled in a bigger hospital WITHOUT SEEING THE PATIENT IN THE ED.

The ED physician after receiving such call had asked the local rescue ambulance to sent the patient up north.

The rescue service had reluctantly accepted the situation and sent the patient over. The still birth was delivered on the way…..

The unacceptable and inappropriate part was – NOTHING WAS DONE during the patient transit in the ED, NO DRIP nor EXAMINATION DONE – not even a VE(vaginal examination…)

A very unethical thing to be done – just because the obstetrician was negligence and the ED physician had NO BALLS to do something which he had omitted in his training causing him INCAPABLE and INCOMPETENCE on his job…..

I shook my head – he is just peak of the ice burg, there are still many many incapable and incompetence board certified ED physician current working elsewhere….they would hesitate to raise their hand if an obstetric condition came in front of them and they would chose to pretend that they are not a doctor if no one recognized them….

Really wanted to speak out the full KNNECB word in front of them….