Saturday, 30 May 2009

My first time

One day, I was oncall. The calls are usually busy calls, but that particular morning was surprisingly pretty chilled out. By 11 we’ve finished all the work, so my partner took a nap while I read a book.

Then 2 pm came, still there wasn’t much going on. Visitors started to pour in. I changed the shift with my partner, she looked after the ward while I took a nap. Oncalls here, no matter what time it is, if you have the opportunity to sleep, grab it, ‘cause u’ll never know when the next time the ward would be as peaceful as that.

I slept peacefully for 2 hours.

It was 4pm.

Suddenly,

Dr Syira…patient collapse!!!!

Like lightning, I jumped out of the chair and ran towards the patient.

She was slumped on a chair as I got there. Unresponsive.

I shook her shoulders. No response.

Pressed hard on her chest. No response

Makcik bangun makcik. Makcik jawap saya panggil ni. No response.

Shit.

I forced open her eyes. Both pupils dilated. SHITT.

Shined light onto her eyes. Both pupils not reactive. SHIT SHIT SHIT.


Doctor macam mana ni. Kakak taktau nak buat apa apa ni.That was the nurse. Chill out, chill out.

On the other side, the patients relatives started crying. Other visitors started to gather around. Some offered to help, most just busybodies.

The nurses stared at me, waiting for instructions.

Ok cool down. I’m in charged here. Rilex rilex.

This is my first time, I’ve only just started working. Damnit brain, THINK!!

Rilek, ok what did I learn in medical school? All theories, no real life experience. It’s ok, I can do this. I KNOW this. I’ve been trained 5 years for this.

So I took charge.

Kak, angkat patient letak atas katil. Tutup curtain. Family tunggu luar. Yang lain, go away. Kak, pegi call MO, Specialist dan Anaest. Jangan balik selagi tak dapat.

I opened the patient’s mouth to check her airways. Her tongue was slumped behind. Inserted an airway in.

Checked her breathing, Chest wasn’t moving. Negative.

Checked her neck pulse. Couldn’t find any. Negative.

Started an ECG monitor. Straight line. Oh dear.

Ok kita start dulu CPR. Skarang!!!!!!!

So I jumped on the bed, and performed the CPR for about 5 minutes before help came. The specialists arrived, and we continued some more.

It was the longest half and hour in my life. I was sweating, and I was so tired, my hands were getting into cramps.

She was still young. And she happily talked to me this morning. I can’t lose her, it’s not her time yet.

But I did lose her.

And she did die.

That night I kept on thing about her.

What could have gone better? What did I do wrong? Should I have done this? Maybe I shouldn’t have done that. Why do I feel so numb? Why am I not crying??? This morning she was alive now she’s gone!

And the M.O tried to counsel me

Syira I know this is your first time. Don’t get too hung up on it, you’ll encounter so many episodes like this, you’ll get used to it

I DON’T want to get used to it, Dammit! I DON’T want to feel numb. I DON’T want to be heartless like you. I WANT to be hung up on it.

Right now, what im most scared of, is not losing a patient. I know that happens, it’s beyond my power.

But what I’m scared of, is turning into those doctors, who treat it just like any other day. Heartless and Cold.

Every doctor turns into that. Can I escape it??

12 comments:

aween lia-na said...

kekla, na penah sembang ngan tutor oncology na. dia kata, dia sendiri menangis setiap kali break the cancer news dkt patient. na personally rasa, takpa ja kalau nak sedih, tapi jangan sbb 1st patient affects second one.

p/s; nicely written, anyway. na baca mcm takut pun ada. kena blajaq betui2 praktikal lepas ni

syigha said...

na
kekla takut lepas ni kekla encounter banyak sgt patientt mati sampai xdak feelings.depa kata once buat medical rotation, semua jadi cold mcm tu..

wan syamir said...

dasyat sgt tu na, kalu menangis setiap kali nak break news... tu dah lebih limit tu...

kekla, sapa yg break the news tu kat family dia? mst traumatic family dia.

##dulu time budak2 kesian tgk org sembelih lembu (nasib baik, lembu sembelihan org lain), skarang tgk sembelih lembu rasa biasa ja.

Qis said...
This comment has been removed by the author.
Qis said...

i wish i'll never have to deal with such situation... gila la shera...

and perhaps, not all of them are heartless and cold. they're just used to it... of coz every situation yg doc encounter akan effect depa in some ways...

aku caya yg hg akan get used to it, but never heartless and cold... ;)

nyz said...

My aunt, a doctor, who is the crier in the family (seriously..ini yg mmg senang gila nangis) once said that as a doctor have to become somewhat heartless and cold to get through the day. Tapi jauh kat lubuk hati nun di sana mmg lah ade perasaan, tapi it has to be set aside, if not.. years down the road... it'll affect you mentally.

Just her 2 cents lah.

Anonymous said...

cian ella.. pehtu nanti kang kalo kite tak sedey bukan manusia kan? keje macam mama akak la ella.. kompem tak jumpa kes macam ni lagi!!! I KOMPEM!!! :)

Myra said...

takdi akak la yang tulis comment.. dier tak kuar name pulok..

mimie said...

Yess!! finally, dah leh leave comment ;p

mimie said...

my first comment ever :)))

syigha said...

jek,
kesian tgk lembu konon, makan lahap macam tak ingat dunia gak!

kid,
tu la all this while aku expect akan menangis bila ni jadi..suprisingly i didnt!

nyz,
kalau tak separate, baru la keja dokter tak jadi macam any other 9-5 jobs..because there's feelings attached to it..tak ke? mcm patch adam pulak aku rase nyiehehe

kak myra
tak boleh..otak ella slow maths..2 tambah 3 pun kena kira guna jari..

mimi
hi mimi!!!!

~nasrah~ said...

wooh!!
hold on there beb..
hg tough to face suma ni..
bukan xdak feelings..or cold.