Saturday, December 7, 2024

we are one.....

ML was sitting on the bench opposite the triage area holding her belly while I walked into the ED. I thought she would be my first patient but her name did not show up on my screen after I seen three patients. I asked around and found out that she was turned by K today morning and G last night as she was just discharged from ward few days ago.

ML was a female with a sorrow past. A schizo since her young age and victim of a fire incident leaving scar over her appearance. She was jobless since the accident and living on subsidy.

Her visit to our setting had increased markedly since last years as she developed liver cirrhosis and massive ascites which required frequent tapping. She had visited us on an irregular basis. Her psy stat plus her noncompliance to medication behavior had led her ascites to increase great speed.

She was turned down from time to time as she tapping request sometimes was too frequent.

Prior to her arrival yesterday, she was admitted to our ward and tapping was done 3 times during her 11 days stay. A good 20000cc was removed and you could she her walking past by our desk with a tea drink jumbo cup on her hand.

After K and G turned her down, I was in no position to help her even though I estimated 10000cc in her peritoneal cavity judging from her belly size.

She had wandered around the hospital since then and I had asked one of nursing staff to hint her that to come back tomorrow morning and someone would proceed the tapping for her if she do so.

She however ignored those advice and kept bothering us from time to time.

I stood the ground as it was not an emergency situation which demand urgent management. The integrity of the EP team is important if no medical emergency is involved. She had then shifted to the OPD and later referred to our department gain but yet the staff did not attend to her.

She was still hanging around the hospital when I went off by 10pm.

When I arrived to work the next day by 9:30am, she was still wandering at the convenient store in front of our hospital; her belly was taken care of apparently.

Well, I logon to my account and found that G had settled her problem after midnight. Even though her problem was solved but yet she was still wandering around…. nothing to shout and comment as my decision to keep the integrity of our team was correct. No hard feeling of delaying the tapping.


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