in ward lesson

salam semua..
semoga sentiasa dlm lindunganNya amiinn
entry kali ni nak cerita cket..
da lame kan xtype kat sini
sori la busy cket (opss mcm busy byk je)
hehe

scenario 1 :
tengah ward round pt kat acute cubicle, encounter a pt..old lady..very2 old i must say
tepi katil ade la 2 orang anak dia, muda2 dan nmpak dah bekerjaya (dpd style die laa)..
emm, mak dia tu dah terbaring, siap ada bed sore BESAR n MULTIPLE..all tendon n muscle sume dah exposed..lebih kurang mcm bedsore type IV.she looked very undernutritioned n wasted. overall hygiene is not satisfying.
spine dah ada fixed cervicothoraco kyphosis okay..sebab dah laama terbaring dalam 1 posisi yang same kat rumah..huhu..datang sebab infected bed sore, n masok la acute cube coz BP x stable. specialist round time tu da mcm nak bengang ngn anak2 dia coz x jaga their mom betol2 smpai jadi mcm tu..obviously obvious the lady was ignored for a long time. that reason for admission already told who's fault it is n no argument needed here. lama2, specialist kitorang tarik a deep breath n he said. okay let settle this 1 by 1. after orthopaedics issues, then to medical issues, then to social issues. even thou they speak in chinese but i could understand that he is trying to advice the children to have some humanity, to give more concern about their OWN mom who taken care of them until they are what they are now.. so sad.. hope the children can change slowly.. we move to see the next pt. but that nite while doing my call, my nurse called me to check the CVP position coz she afraid the line might be leaking sumwhere. ohh, look. that contracted upper limbs already made the running NS for the CVP leaking at the insertion point. i adjusted the hand and told the child to keep the hand in partially extended position. but yet, they ask their bibik to hold it n after some "bising2", they went home straightly. pehhh...buat penat jer my specialist bg nasihat pagi td..haihh.


scenario 2 :
an old lady smile n looked very happy when the round come to her daughter's bed. with the surah yassin at her wrinkled hand, she wiped off her daughter's saliva, umur about 50's like that..pt ni ade previous history of ICB which is SDH and had done decompression craniotomy at HSAJB. kat sane je ade neurosurgical.. now also come with infected bed sore, and it is type II. but the pt looked well, hygine good, xde contracture, lungs clear n other bed ridden complication xde sangat kecuali bedsore tu n we dun expect that her old mother can turn her every 2 hour at home..so after my specialist gave the teaching, he made some take home message..n it is out of the medical thingy..

" a mother can take care of 10 children, but even more than 10 children are not guaranteed to take care of a mother "

that quote is no more a quote but i really saw it with my eyes now.


astagfirullah al azim..
jauhkan kami semua ya Allah daripada menjadi anak2 derhaka

aminn ya rabbal alamin


salam alaik !!