The work in ED is always a team work
and as the lead in the team, you would surely want a group of staffs with good skills
and proper attitude.
I had encountered a few taps lately…
It was a busy morning when I took over
the shift. A car accident with multiple victims; a few youngster rammed their
car onto a big drain along the road down south.
Two were considered severe among those
victims. A 18 years old girl with T- spine fracture with another young chap
sustained a brain concussion.
K told me everything was done and
awaiting the family to picked them up.
I took a quick glance at the CT and
confirmed the T-spine fracture(yeap it was my fault for taking a QUICK GLANCE).
The two victims were surrounded by other and was chit chatting while waiting for
the pick-up.
I got a call 1 hrs later by the
radiologist.
“Dr L, I think I saw something in the uterus
of the pt chart no 123456. I think it might be a fetus”, said the radiologist. I
thanked him and cursed while I reviewed the CT again. It was truly a fetal like
object in it. I pushed the sonography machine to the bed-side and asked the
patient again….She missed her period 2 months ago and did not tell our staff as no one had asked her. WXF, I cursed again; no one
even bother to ask the menstrual period! The EP, the nurses, the radiographer;
the girl had gotten pass those 3 layers of defense and got hit by a large doses
of radiation…Catastrophic incident and my most fear was being walloped by the family
when I broke the news to them…
The sonography confirmed my fear,
shinning spine with a heart beat was shown over the screen.
I called up our gynecologist for a
consult and reported the incident to the superintendent. The social worker was
called for further counseling.
One of the youngster around the girl
appeared to be her boyfriend. 8+9 type of youngster.
8+9 is a synonym for “eight house
general”. There are youngster involved in temple activity as dancer portraying
as warrior from sky. Some of the temple had served as branches for triad and
these youngster would be adsorbed as minion.
I was a little bit restless while
waiting for the parents to come; hopefully they don’t appear with betel nut
stained tongue and tattoo.
The father came in his working suit,
he appeared like a good old man with good manner. And he was what he look like...
I explained to him about the injury and told him that the CT was done under an emergency circumstances. Father was worried with his daughter injury from his look as I explained the condition to him.
I was relieved when
he mumbled that even if the child is ok, they could not afford the child. I
arranged referral to a medical center where a further high risk pregnancy
assessment would be done.
The social worker chatted with me
later and told me that the family was financially restraint and she had left
home early to work. The father claimed that they could not afford to raise the
grandson. I was not happy with the ending however it was best for all including
fetus…
I had followed up the case 2 months
later and found that D+C was done.
It looked like a very happy ending, parents saves RM1k for the abortion, everything was taken care of; girls and boys can go back to their life.....
How the hack did it happn? It was near
passing over time, everyone rushing to complete their task and no one bother to
ask seems like the only explaination and yet I think it is all act of the Great One....
It was a double tap for me as my staff had
sent an elderly female with renal insufficiency for enhance CT without waiting
the Cr result(her condition was not ok for that); I had gotten a narrow escape without a scratch with grace from the Great One...And this double tap had made me believed more about his grace...
However the third tap was waiting for me...
