Palmo Anest: April 2007

It's official

Today MOHE puplished the final status of all applications to the local uni clinical master programmes on their website.

Check out this link below:

Glad that I'm going back to my hometown hospital for the next 2 years. Thanks to all of you out there along my paths to this day.

God bless and all the best to all who are going for their primary and final exams.

Congratulation and all the best to those who are joining the master programme. Feel sorry to those who didn't get it this time, if this is what you really want, try next year, otherwise, there are still lots of oppotunities out there. Take care.

WoooooHoooooo!

I've found the right place for the info i need.

For those who apply for UM, USM Postgraduate degree, clik on the images above to check ur application status.

Finally I'll be joining UM this coming intake. :)

Life after spine injury

I had a patient, 50 yr old gentleman. MVA few months ago, cervicle spine fracture at C5 & C6 level. Plating done but still quadriplegia (paralysis of both arms and both legs) and dependent on ventilator (breathing support by a mechine) and minimal inotrope to maintain his BP. He is conscious and alert.

A month after his injury. The other hospital which he initially admitted to (in another state) has sort of forced him to ask for transfer to us as we r his hometown hospital. We accepted him to our ICU on humanitarian ground, we don't have a HDU setting at that time. The fact that his wife is a staff nurse helps too.

He was in sepsis at the time of transportation. On arrival to our ICU, his BP crashed. His gasses exchange very poor. Needed high PEEP and 100% Oxygen, high inotrope support. On top of that he still went into bradycardia and BP unrecordable for a few times.

We resuscitated him.

The wife being a medical personnel knows very well what she is facing. But the other family members (siblings of the patient) are still in deniel and think she didn't do enough for him. Instead of settling in a public hospital, they wants her to put him in a private hospital to get 'better treatment'.

They went to ask from private four times, each time, the private hospital called us up, ask the patients condition, we told them, they politely refused to take over the patient.

A month after the admission, patient still with us, he came out of sepsis but still ventilator dependent. Ventilating with minimal SIMV settings, minimal inotrope. Alert and conscious but quadriplegia. A long bettle ahead.

We all know that eventually we have to transfer him out of the ICU with a ventilator at the general ward. With the ERV we had, it's more like a terminator then a ventilator...

God bless his soul and give strength to his family.

On day, in OT reception area.

Ortho MO: (on the phone) ....... oh ok, .... thank you.

Orothopod Surgeon: (sitting beside) what happen?

Ortho MO: bla bla bla... (it's a referal from other dept.)

Orthopod: what? ppl refering case to u, u still say thank you ar? I'd have answered 'what? what u want?'... bla bla bla....

Few days later inside OR.

Orthopod: Lower the table. (nothing happen, no ppk around and I was bz writting the note)

Orthopod: (looking at me) is the table lowest? (indicating wants the table set to the lowest).

Me: Ar? (make a blur look) Talking to me? Do I hear a please and thank you?

Where goes the manner?

Back from vacation

Boy, had been very long while since I last make an entry here.

Just came back from a short break with my family in Bali. It's a bit of rushing n tiring with the kids tagging along though.