Salam..
This entry will be short and hopefully sweet.. Both of us are really exhausted after our long day.. This will be no more than a light before-bed reading material..
Mega Clinic
For some reason, I managed to survive the mega clinic of the Renal service.. We had 53 patients coming in and I had only the faintest of idea what is wrong with their kidneys.. Obviously, the consultants know all the patients by heart, including their kidney function numbers!
Of course, other services may well have more than 50 patients.. The difference is, the Renal service only has one outpatient clinic every week.. Whereas, for example, the Haematology service would have four clinics in a week, with an average of 20 to 25 patients per clinic.. That sums up to almost 100 patients in the clinic per week! But spreading them out makes the clinic lighter.. Plus, in the Renal service, there is a 'post mortem' of the clinic where every patient is discussed briefly.. Even after that, we finished at 7pm..
I only finished the dictations around 7.30pm and went straight out the door! Ina was well waiting for me to start the car engine..
First SHO Call - And Survived!
Ina had quite a pleasant night for a call last night.. Maybe she was just lucky.. Even the medics were quiet - they took only about 15! Ina had to admit five and three of them came before 6pm.. She got the other two later and by 2am she was already in her room ready to switch off.. She got quite a call, I may say.. It is not uncommon for the Geriatric call to have up to 10 admissions per night.. Last week, Louise was oncall for the Geri's and took in twelve in a night, nine of them with pneumonia/chest infection..
Ina will be oncall again this weekend, Saturday and finishing Sunday.. I hope she'll be alright.. I am sure she will.. I am just worried because her appetite has really hit the boots over the last three weeks or so and stressing herself with not enough fuel would not be best..
Anyway, I congratulate my dear darling for surviving her first SHO call.. It is not a major event but it sure is a huge jump in term of her career development.. She is already asleep, tired from the call and the day's job.. I won't disturb her.. Let the newly-promoted SHO get some rest..
Salam..
Tuesday, January 6, 2009
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