busy and exciting month....

It is one of the exicting month for me...

my eletronic SOAP program is running smooth and the e-medical order part would be function fully next months... I had a hard time with the head of pharmacy but managed to tackle all those "big problems" he stated. I am trying to shift my program from simple txt file to oracle database in the next few months and hope I would succeed. I am not sure frankly but I would try hard. We had a new MIS engineer at the moment - he is fresh and he is currently handling all the hardward.... but he would be taking over part of the software and database part later on...I am taking an exam next months - medical infomartic management personnel organized by the medi info society of Taiwan.

The ED is facing problem of locum doctor... currently the weekend is covered but locum doctor but in the future such practice would not be allowed. The hospital is trying to find someone but unsuccessful. Next month I would be doing 6 calls again and enjoying my vacation. We e were trying to workup a scheme but with the pay/hr at the moment I would be imposible for us to compromise.

I had a surprise this months... the management had converted my annual leave into cash ... I am happy with it, at least I got my annual leave here, my past employer did not provide us with any annual leave...

I had my asthma attack on and off but still hanging on.... I am lucky I am not a surgeon, or I would be losing my job - with such attack, I don't think I could operate ....well, you never know what would come in the future....

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....