life in casualty

life as a HO alwaz sucks...

last night i worked night shift..my 2 MO's were sleeping in their dreams and i'm the one settle those admission..nowadays many psychiatric patient turned up in the early morning just to seek treatment for the symptoms already appeared for ages...what so emergency about it~i found out that the public really abusing the meaning of emergency !!!

1st case: baby presented with crystalline urine
i reassured the parents that it's just crystalline urine, nothing to worried about the kidney.the parents were not satisfied and somemore telling me that the baby seems to be pale after the "hematuria"(bloody urine) and yet the baby was active and pink in front of me..oh my goodness, nowadays parents seem to have munchausen's by proxy(parents creating symptoms for their baby just to get attention). when i said the baby is going to be admitted to ward, they was so happy..really stupid parents, never thought that their baby was extremely healthy now had to stay with those sick children in the ward..

2nd case: young lady in comatose state
20+yo young lady brought in "uncosncious" state ...reluctant to open her eyes even though i pressed hard on the sternum(to assess GCS level) and Dextrostix(capillary blood sugar) was normal..my experienced MO already know the spot diagnosis--post-hypoventilation, he made a small trick and the patient had to open her eyes even though how she had been faking doing it for the past few minutes. on further questioning, she had quarrel with her father and she forced herself to hyperventilate..gila patient!!!

3rd case: young man with gum pain
initially i thought of mumps but when i saw the patient walking in without painful facial expression, i found abit weird. i asked him to open his mouth and saw a big ulcer sitting at the gum there, i was in rage..why people thought doctor is so free to be a dentist?a gum ulcer ...pleaselah, u can apply bonjela cream and it should be common sense that this is not emergency case!!!throughout the consultation, i had to suppress my anger and told him what to treat the ulcer he had.

4th ..100th case: MC ...MC...MC
since medical student till now, i never had a chance to get MC even though i was having high grade fever with chills and rigors..
nowadays, people use MC as an excuse to getaway from work, school and many other unacceptable reason.. i can diagnose a patient whether he is coming for MC or really truly fall sick by just seeing the facial expression..
i had 1 patient ..he was complaining everywhere pain and yet there's no suggestive signs and symptoms and also lab results was normal..in the end, he said he want 3 days MC's..damn insulting.sorry for those seeking MC's patients,I'm very stingy in giving MC's as i'm still not well trained to write MC's even though i had struggling through 5 years medical study~

haih..kinda disappointed with the casualty department without filtering those unwanted so-called emergency stuff...